规范孕期健康管理在瘢痕子宫再次妊娠阴道试产中的应用效果

Effect of Standardizing the Health Management During Pregnancy on the Vaginal Trial of the Second Pregnancy of Cicatricial Uterus

目的研究规范孕期健康管理在瘢痕子宫再次妊娠阴道试产中的应用效果。方法将于2018年6月-2019年6月间惠州市第二妇幼保健计划生育服务中心收治的120例具备阴道试产的孕妇,根据孕妇接受孕期健康管理的依从性分为观察组和对照组,每组各60例。对照组给予传统孕期健康教育,观察组实施孕期健康规范管理。对比分析两组产妇的孕前体质量指数、阴道试产率及阴道试产成功率等,研究两组的产程时间及并发症发生情况。结果观察组新生儿体重低于对照组,差异具有统计学意义(P<0.05)。观察组阴道试产48例(80.00%),对照组18例(30.00%),差异具有统计学意义(χ2=5.926,P=0.015)。第一产程、第二产程均短于对照组,差异具有统计学意义(P<0.05);两组第三产程时间及孕前体质量指数差异无统计学意义(P>0.05)。观察组剖宫产率及并发症总发生率低于对照组,顺产率高于对照组,差异具有统计学意义(P<0.05)。观察组阴道试产成功率略高于对照组,产前助产率略低于对照组,但差异无统计学意义(P>0.05)。结论使用孕期健康规范管理能够显著减少瘢痕子宫再次妊娠阴道试产孕妇孕期体重增加量,避免营养过剩,降低妊娠并发症及不良分娩结局发生率,利于母婴预后良好发展。

Objective To study the effect of standardizing the health management during pregnancy on the vaginal trial of the second pregnancy of cicatricial uterus.Methods 120 pregnant women with vaginal trial from June,2018 to June,2019 were divided into observation group and control group according to the compliance of pregnant women with pregnancy health management,with 60 cases in each group.The control group was given traditional health education during pregnancy,and the observation group was given standard management of health during pregnancy.The pre pregnancy body mass index,vaginal trial delivery rate and vaginal trial delivery success rate were compared between the two groups.Delivery time and complications of the two groups were analyzed.Results The weight of newborn in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There were 48 cases(80.00%)in the observation group and 18 cases(30.00%)in the control group,and there was significant difference(χ~2=5.926,P=0.015).The first and second stages of labor were shorter than the control group,the difference was statistically significant(P<0.05).The rate of cesarean section and complications in the observation group was lower than that in the control group,and the rate of spontaneous delivery was higher than that in the control group.The difference was statistically significant(P<0.05).The success rate of vaginal trial delivery in the observation group was slightly higher than that in the control group,and the prenatal delivery rate was slightly lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion The use of health standard management during pregnancy can significantly reduce the weight gain of pregnant women in vaginal trial delivery of cicatricial uterus,avoid excessive nutrition,reduce the incidence of pregnancy complications and adverse delivery outcomes,which is conducive to the good development of maternal and infant prognosis.