产程中优质护理对瘢痕子宫再次妊娠经阴道分娩产妇分娩结局的影响

Effect of high quality nursing during labor on delivery outcome of re-pregnancy women with scarred uterus undergoing vaginal delivery

目的探析产程中优质护理对瘢痕子宫再次妊娠经阴道分娩产妇分娩结局的影响。方法120例在本院建册进行系统产前检查并选择经阴道分娩的瘢痕子宫再次妊娠产妇,随机分为对照组及观察组,每组60例。对照组实施常规产程监测护理,观察组实施产程监测优质护理。比较两组产妇的分娩结局,新生儿窒息和产妇子宫破裂发生情况,产妇住院期间的母乳喂养情况,产程时间和产后出血量,舒适度和满意度。结果观察组经阴道分娩率90.0%高于对照组的75.0%,差异具有统计学意义(χ^2=4.675,P=0.031<0.05)。两组新生儿窒息和产妇子宫破裂发生率比较,差异均无统计学意义(χ^2=1.008、1.008,P=0.315、0.315>0.05)。观察组住院期间母乳喂养成功率96.67%高于对照组的85.00%,差异具有统计学意义(χ^2=4.904,P=0.027<0.05)。观察组产妇的第一产程、第二产程、第三产程时间均明显短于对照组,产后出血量明显少于对照组,差异均具有统计学意义(P<0.05)。观察组产妇的舒适度评分为(90.32±2.16)分,满意度评分为(92.34±2.54)分。对照组产妇的舒适度评分为(80.36±2.58)分,满意度评分为(81.47±2.56)分。观察组产妇的舒适度及满意度评分均高于对照组,差异均具有统计学意义(t=22.928、23.348,P=0.000、0.000<0.05)。结论对瘢痕子宫再次妊娠经阴道分娩产妇实施产程监测优质护理,可提高经阴道分娩的成功率,同时可缩短产程时间,减少产后出血量,提高母乳喂养成功率,提高产妇的舒适度和满意度,值得推广应用。

Objective To discuss and analyze the effect of high quality nursing during labor on delivery outcome of re-pregnancy women with scarred uterus undergoing vaginal delivery.Methods A total of 120 cases of pregnant women with scarred uterus who filed and underwent systematic prenatal examination in our hospital and required vaginal delivery were randomly divided into control group and observation group,with 60 cases in each group.The control group received conventional monitoring and nursing,and the observation group received high quality of labor monitoring.Comparison was made on delivery outcome,occurrence of neonatal asphyxia and uterine rupture,breastfeeding during hospitalization,duration of labor and postpartum hemorrhage,degree of comfort and satisfaction between the two groups.Results The observation group had higher vaginal delivery rate as 90.0%than 75.0%in the control group,and the difference was statistically significant(χ^2=4.675,P=0.031<0.05).There was no statistically significant difference in neonatal asphyxia and uterine rupture between the two groups(χ2=1.008,1.008,P=0.315,0.315>0.05).The observation group had higher success rate of breastfeeding during hospitalization as 96.67%than 85.00%in the control group,and the difference was statistically significant(χ^2=4.904,P=0.027<0.05).The observation group had obviously shorter duration of firststage labor,second-stage labor and third-stage labor than those of the control group,and obviously less amount of postpartum hemorrhage than that of the control group.Their difference was statistically significant(P<0.05).The observation group had maternal comfort score as(90.32±2.16)points and maternal satisfaction score as(92.34±2.54)points,which were(80.36±2.58)and(81.47±2.56)points in the control group.The observation group had higher maternal comfort and satisfaction scores than those of the control group,and their difference was statistically significant(t=22.928,23.348,P=0.000,0.000<0.05).Conclusion For re-pregnancy women with scarred uterus undergoing vaginal delivery,high quality nursing of labor monitoring can improve the success rate of vaginal delivery,as well as shorten the duration of labor,reduce amount of postpartum hemorrhage,improve success rate of breastfeeding,improve maternal comfort and satisfaction.It is worthy of popularization and application.