助产护理干预对高龄产妇分娩方式、产程的临床影响效果分析

Analysis of the clinical effect of midwifery nursing intervention on the delivery mode and birth process in older puerperas

目的将助产护理干预应用于高龄产妇的分娩过程中,分析对其分娩方式和产程进展的临床影响效果。方法选取2016年3月~2017年9月于本院分娩的70例高龄产妇,依据助产护理干预差异性开展分组,每组35例,将常规助产护理干预措施应用于参照组,将综合助产护理干预措施应用于实验组,分析两组高龄产妇的自然分娩总计率、第一产程时间、第二产程时间、总产程时间、产后出血总计率。结果实验组的自然分娩率高于参照组、产后出血率低于参照组,差异有统计学意义(P<0.05);实验组产妇的第一产程时间、第二产程时间、总产程时间均低于参照组,差异均有统计学意义(P<0.05)。结论在高龄产妇的分娩过程中采取助产护理干预能够增加自然分娩情况,缩短产妇的产程时间,并减少产后出血,具有重要临床应用价值。

Objective To apply the midwifery nursing intervention in the birth process of the older puerperas, and to analyze and evaluate its clinical effect on the delivery mode and birth process. Methods 70 older puerperas delivered from March 2016 to September 2017 in our hospital were used as experimental data. They were grouped according to the differences in midwifery care interventions, with 35 older puerperas in each group. And routine midwifery nursing interventions were conducted in the reference group. The comprehensive midwifery nursing intervention measures were applied in the experimental group. The natural delivery rate, the first stage of labor, the second stage of labor, the total stage of labor, and the total rate of postpartum hemorrhage of the two groups were analyzed and counted. Results The rate of natural childbirth in the experimental group was higher than that of the reference group and the rate of postpar- tum hemorrhage was lower than that of the reference group. The difference of the two groups was statistically significant （P〈0.05）. The first time of labor, the second stage of labor and the total labor time of the experimental group were lower than those in the reference group, and the difference between the two groups was statistically significant（P〈0.05）. Conclusion Midwifery nursing intervention in the delivery process of the older puerperas can increase the natural delivery, shorten the maternity time, reduce postpartum hemorrhage, and it has important clinical application value.