全程连续性助产护理对剖宫产术后再次妊娠经阴道分娩的妊娠结局及护理满意度的影响

Effects of continuous midwifery nursing on pregnancy outcome and nursing satisfaction of vaginal delivery after cesarean section

目的:分析剖宫产术后再次妊娠经阴道分娩过程应用全程连续性助产对妊娠结局及护理满意度的影响。方法:以88例剖宫产术后再次妊娠经阴道分娩产妇作为调查对象,根据护理方式不同分为观察组和对照组,每组44例,对照组给予常规分段式助产护理,观察组给予全程连续性助产护理,分别观察两组自然分娩率、新生儿窒息率、胎儿窘迫率、产后出血率、产程时间以及护理满意度。结果:对照组产妇产程时间为(14.32±1.32)min,观察组为(10.21±1.19)min,观察组产妇产程时间明显低于对照组(P<0.05);观察组产后出血率、胎儿窘迫率以及新生儿窒息率均明显低于对照组(P<0.05);观察组产妇对护理满意度(97.73%)明显高于对照组(81.82%)(P<0.05)。结论:全程连续性助产应用于剖宫产术后再次妊娠选择阴道分娩过程中,可有效提升产妇的自信心和对医护人员的信任感,降低并发症发生率,提高产妇对护理的满意度。

Objective:To analyze effects of continuous midwifery on pregnancy outcome and nursing satisfaction of vaginal delivery after cesarean section.Methods:88 cases of vaginal delivery after cesarean section were used as the research objects and divided into observation group(n=44)and control group(n=44)according to the different nursing methods.The control group was given the conventional segmental midwifery nursing,while the observation group used the continuous midwifery nursing.The rates of spontaneous labor,neonatal asphyxia,fetal distress,and postpartum hemorrhage,labor hours and nursing satisfaction of the two groups were observed.Results:The labor hour of the observation group(14.32±1.32min)was significantly lower than that of the control group(10.21±1.19min)(P<0.05).The rates of fetal distress rate,neonatal asphyxia rate and postpartum hemorrhage of the observation group were significantly lower than those of the control group(P<0.05).Further,the nursing satisfaction of the observation group(97.73%)was significantly higher than that of the control group(81.82%)(P<0.05).Conclusions:The full-course continuous midwifery during vaginal delivery after cesarean section can effectively improve the parturients'self-confidence and trust in the medical staff,reduce the incidence of complications,and improve the satisfaction with the nursing.