瘢痕子宫再次妊娠产妇围生期的护理配合

Nursing Cooperation in Perinatal Period of Pregnant Women With Scar Uterus

目的探讨瘢痕子宫再次妊娠产妇围生期的护理配合。方法选取2016年1月—2017年2月100例瘢痕子宫再次妊娠产妇并随机数字表法分组。对照组用常规围生期护理配合,观察组采用全面围生期护理配合。比较两组围生期护理满意度;产程平均时间、产后平均出血量;干预前后产妇心率、血压等应激指标;自然分娩和剖宫产情况。结果观察组围生期护理满意度高于对照组,P<0.05;观察组产程平均时间、产后平均出血量优于对照组,P<0.05;干预后观察组心率、血压等应激指标优于对照组,P<0.05;观察组自然分娩率高于对照组,剖宫产少于对照组,P<0.05。结论瘢痕子宫再次妊娠产妇围生期全面护理配合效果确切,可有效缩短产程,减少产后出血,提高自然分娩率,减轻分娩中产妇应激,提升满意度。

Objective To explore the nursing cooperation of perinatal period of pregnant women with scar uterus.Methods 100 cases of uterine cicatricial uterus pregnant women were divided into two groups by random number table method from January 2016 to February 2017.The control group was treated with routine perinatal nursing,and the observation group was given comprehensive perinatal nursing coordination.The perinatal nursing satisfaction,the average duration of labor,the average postpartum hemorrhage,the stress index of the heart rate and blood pressure before and after the intervention,the natural childbirth and the cesarean section in two groups were compared.Results The perinatal care satisfaction of the observation group was higher than that of the control group,P<0.05;The average time of labor and the mean postpartum hemorrhage in the observation group were better than those in the control group,P<0.05.The indexes of heart rate and blood pressure in the observation group were better than those in the control group,P<0.05.The rate of spontaneous delivery in the observation group was higher than that in the control group,and the cesarean section was less than that of the control group,P<0.05.Conclusion The effect of comprehensive nursing in perinatal period of pregnant women with scar uterus is exact,which can effectively shorten the labor process,reduce postpartum hemorrhage,improve the natural childbirth rate,relieve maternal stress and improve satisfaction.