瘢痕子宫再次妊娠阴道分娩中应用气囊仿生助产术对妊娠结局及产后出血量的影响

Effect of Balloon Bionic Midwifery on Pregnancy Outcome and Postpartum Hemorrhage in Vaginal Delivery of Scar Uterus

目的探讨瘢痕子宫再次妊娠阴道分娩中应用气囊仿生助产术对妊娠结局及产后出血量的影响。方法方便选取2017年3月-2019年4月瘢痕子宫再次妊娠阴道分娩产妇88例进行研究,根据助产方式不同分组,对照组44例采用常规阴道助产,观察组44例采用气囊仿生助产术,对两组妊娠结局及产后出血量进行观察。结果观察组第一产程时间、第二产程时间分别为(358.43±21.95)min、(26.45±7.53)min,较对照组(524.61±27.82)min、(52.37±8.42)min短,新生儿Apgar评分为(8.72±0.54)分,较对照组(7.81±0.49)分高,差异有统计学意义(t=31.107、15.221、8.278,P<0.05);观察组胎儿宫内窘迫、新生儿窒息、会阴侧切、中转剖宫产发生率分别为0.00%、0.00%、2.27%、2.27%,明显低于对照组11.36%、9.09%、15.91%、13.64%(χ~2=4.647、4.191、4.950、3.880,P<0.05);观察组产时、产后2 h、产后24 h的阴道出血量分别为(107.53±28.41)mL、(193.68±65.42)mL、(243.91±74.69)mL,明显低于对照组(136.29±34.76)mL、(256.73±82.54)mL、(337.58±91.54)mL,差异有统计学意义(t=4.249、3.971、5.259,P<0.05)。结论瘢痕子宫再次妊娠阴道分娩中应用气囊仿生助产术可缩短产程时间,改善妊娠结局,也能减少围产期出血量,值得推广。

Objective To investigate the effect of balloon bionic midwifery on pregnancy outcome and postpartum hemorrhage in vaginal delivery of scar uterus. Methods 88 women with vaginal delivery from March 2017 to April 2019 were convenient selected for re-pregnancy and vaginal delivery. In the control group,44 patients underwent routine vaginal delivery,and 44 patients in the observation group underwent balloon bionic midwifery. The pregnancy outcome and postpartum hemorrhage volume of the two groups were observed. Results The first labor time and the second labor time of the observation group were(358.43±21.95) min and(26.45±7.53) min,which were shorter than the control group(524.61±27.82) min and(52.37±8.42) min. The neonatal Apgar score were(8.72±0.54) points,higher than the control group(7.81±0.49)points,the difference were statistically significant(t =31.107,15.221,8.278,P <0.05);the incidence of intrauterine distress,neonatal asphyxia,perineal side cut,and cesarean section in the observation group were 0.00%,0.00%,2.27%,and 2.27%,respectively,which were significantly lower than the control group 11.36%,9.09%,15.91%,and 13.64%(χ~2=4.647,4.191, 4.950,3.880,P<0.05);the vaginal bleeding volume of the observation group at birth,2 hours postpartum,and 24 hours postpartum were(107.53±28.41) mL,(193.68±65.42) mL,(243.91±74.69) mL,which were significantly lower than that of the control group(136.29±34.76) mL,(256.73±82.54) mL,(337.58±91.54) mL,the difference was statistically significant(t=4.249,3.971,5.259,P <0.05). Conclusion Scar uterus re-pregnancy vaginal delivery with balloon bionic midwifery can shorten the time of labor,improve pregnancy outcomes,but also reduce the amount of vaginal bleeding,it is worth promoting.