产房助产士对产后出血的临床预防处理及护理

Clinical Prevention,Management and Nursing of Postpartum Hemorrhage by Midwives in Delivery Room

目的探究产房助产士对产后出血临床预防处理效果,并对护理方法与效果进行研究,降低产后出血的发生。方法在2017年12月至2018年12月时间段中,选取的研究对象为84例分娩产妇,分为两组,42例给予常规护理者作为对照组,42例给予助产士全程陪护护理者作为实验组,对比两组产后出血情况与护理效果。结果实验组在产后出血量与产后出血率中的指标显著优于对照组,差异有统计学意义,P<0.05。实验组新生儿窒息率为2.4%(1/42),产妇自然分娩率为90.5%(38/42);对照组新生儿窒息率为14.3%(6/42),产妇自然分娩率为73.8%(31/42);组间差异有统计学意义,P<0.05。实验组护理满意率为95.2%,对照组护理满意率为78.6%,P<0.05,有统计学意义。结论在产房助产士给予分娩产妇进行全程陪护护理干预中,能够显著降低产后出血的发生,降低产后出血量,具有较高的预防效果。并且能够促使患者尽快康复,减少并发症的发生,在临床上的应用价值较高。

Objective To explore the clinical prevention and treatment effect of midwives in delivery room on postpartum hemorrhage,and to study the nursing methods and effects to reduce the occurrence of postpartum hemorrhage.Methods During the period from December,2017 to December,2011,84 pregnant women were selected as research objects and divided into two groups.42 cases were given routine nursing care as the control group and 42 cases were given midwives as the experimental group.The situation of postpartum hemorrhage and nursing effect of the two groups were compared.Results The indexes of postpartum bleeding volume and postpartum bleeding rate in the experimental group were signifi cantly better than those in the control group,with statistically signifi cant differences(P<0.05).In the experimental group,the rate of neonatal asphyxia was 2.4%(1/42),and the rate of natural delivery was 90.5%(38/42).The asphyxia rate of the control group was 14.3%(6/42),and the rate of natural delivery was 73.8%(31/42).The difference between groups was statistically signifi cant(P<0.05).The nursing satisfaction rate was 95.2%in the experimental group and 78.6%in the control group,P<0.05,which was statistically signifi cant.Conclusion In the delivery room,the midwife can signifi cantly reduce the occurrence of postpartum hemorrhage and postpartum blood loss during the whole process of accompanying and nursing intervention,which has a high prevention effect.Moreover,it can promote patients to recover as soon as possible and reduce the occurrence of complications,which is of high clinical application value.