分娩期全程护理对剖宫产史阴道试产孕妇产程及分娩结局的影响

Effect of Full-course Nursing During Delivery on the Delivery Process and Delivery Outcomes of Pregnant Women Undergoing Vaginal Delivery with a History of Cesarean Section

目的探讨分娩期全程护理对剖宫产史阴道试产孕妇产程及分娩结局的影响。方法方便选取该院2017年10月—2019年10月行剖宫产术后阴道试产的46例孕妇作为研究对象。利用随机数字法将患者分为观察组(23例)和对照组(23例),其中观察组实行分娩期全程护理,对照组实行常规护理。比较两组产妇妊娠结局、阴道生产成功率、产程时间、术后出血量及护理满意度。结果两组产妇不良妊娠结局比较,差异无统计学意义(χ^2=0.770,P=0.380);观察组患者阴道分娩成功率60.87%明显大于对照组30.43%(χ^2=4.290,P=0.040)。对照组第一产程、第二产程及总产程时间均明显长于观察组(P<0.05);观察组产后出血量明显少于对照组,护理工作满意度明显高于对照组,差异有统计学意义(P<0.05)。结论分娩期全程护理具有缩短剖宫产史阴道试产孕妇产程,减少不良妊娠结局概率,增加患者护理满意度的作用。

Objective To investigate the effect of full-course nursing during childbirth on the delivery process and delivery outcomes of pregnant women with a vaginal delivery during cesarean section.Methods Forty-six pregnant women undergoing vaginal delivery after cesarean section in the hospital from October 2017 to October 2019 were convenienty selected as the research subjects.The patients were divided into observation group(23 cases)and control group(23 cases)by random number method,in which the observation group was given care during delivery and the control group was given routine care.The maternal pregnancy outcome,vaginal delivery success rate,labor time,postoperative bleeding volume,and nursing satisfaction were compared between the two groups.Results There was no significant difference in adverse pregnancy outcomes between the two groups(χ^2=0.770,P=0.380).The success rate of vaginal delivery in the observation group was 60.87%,which was significantly higher than that in the control group 30.43%(χ^2=4.290,P=0.040).The first,second,and total labor time in the control group were significantly longer than those in the observation group(P<0.05);the postpartum bleeding volume in the observation group was significantly less than that in the control group,and the satisfaction with nursing work was significantly higher than that in the control group.The difference was statistically significant(P<0.05).Conclusion The whole-course nursing during delivery has the effect of shortening the delivery process of vaginal pregnant women undergoing cesarean section,reducing the probability of adverse pregnancy outcomes,and increasing patient satisfaction with nursing.