全程连续性助产护理在剖宫产术后再次妊娠阴道分娩中的应用效果

Effect of whole course continuous midwifery nursing in vaginal delivery in second pregnancy after cesarean section

目的探讨全程连续性助产护理在剖宫产术后再次妊娠阴道分娩中的应用效果。方法选取2017年1月～2018年7月我院收治的208例剖宫产术后再次妊娠行阴道分娩的产妇作为研究对象,采用随机数字表法将其分为实验组和参照组,每组各104例。参照组给予常规分段式助产护理,实验组则给予全程连续性助产护理。比较两组的自然分娩率、产后出血率及胎儿窘迫的发生率,记录两组的产程时间,并调查两组对护理工作的满意度。结果实验组的自然分娩率高于参照组,产后出血发生率及胎儿窘迫发生率均明显低于参照组,差异均有统计学意义(P<0.05)。实验组的平均产程时间为(10.4±2.3)h,短于参照组的(12.7±2.8)h,差异有统计学意义(P<0.05)。实验组对护理总满意度为94.23%,明显高于参照组的76.92%,差异有统计学意义(P<0.05)。结论在剖宫产术后再次妊娠阴道分娩中给予全程连续性助产护理能促进自然分娩,缩短产程时间,减少产后出血及胎儿窘迫等并发症提高护理满意度,值得临床进一步推广。

Objective To explore the effect of whole course continuous midwifery nursing in vaginal delivery in second pregnancy after cesarean section. Methods From January 2017 to July 2018,208 pregnant women with vaginal delivery after cesarean section were selected as the study objects. They were divided into experimental group and reference group according to random number table method,104 cases in each group. The reference group was given routine segmental midwifery nursing,while the experimental group was given whole course continuous midwifery nursing. The natural delivery rate,postpartum hemorrhage rate and fetal distress rate were observed and compared between the two groups. The time of delivery was recorded and the satisfaction of the two groups was investigated. Results The natural delivery rate in the experimental group was higher than that in the control group,while the incidence of postpartum hemorrhage and fetal distress was significantly lower than that of the control group (P<0.05). The average duration of labor in the experimental group was (10.4±2.3) h,which was significantly shorter than that in the control group (12.7±2.8) h (P<0.05). The satisfaction degree of the pregnant women in the experimental group was 94.23%,which was significantly higher than that in the reference group (76.92%),and the difference was statistically significant (P<0.05). Conclusion Continuous midwifery nursing can promote natural delivery,shorten the time of labor,reduce complications such as postpartum hemorrhage and fetal distress,and improve nursing satisfaction. It is worthy of further clinical promotion.