前瞻性助产护理对初产妇分娩方式及不良妊娠结局的影响

The effect of prospective midwifery nursing on delivery mode and adverse pregnancy outcome of primipara

目的探讨前瞻性助产护理对初产妇分娩方式及不良妊娠结局的影响。方法选取2018年6月—2019年2月我院初产妇104例,根据随机数字表分为对照组(52例)与观察组(52例)。对照组产妇在围生期予常规助产护理,观察组在对照组基础上实施前瞻性助产护理,比较2组产妇的分娩方式,不良妊娠结局,产程、出血量、新生儿Apgar评分。结果观察组自然分娩率为50.77%,高于对照组的55.77%(P>0.05);观察组总不良妊娠结局发生率为11.54%,低于对照组的28.85%(P<0.05);相较于对照组,观察组产妇总产程、术中出血量与产后2 h出血量均明显更低(P<0.05);2组新生儿Apgar评分差异无统计学意义(P>0.05)。结论初产妇采取前瞻性助产护理可有效提高顺产率,缩短产程,减少出血量,改善不良妊娠结局。

Objective To explore the effect of prospective midwifery nursing on delivery mode and adverse pregnancy outcome of primipara.Methods 104 primiparas in our hospital from June 2018 to February 2019 were selected and divided into the control group(52 cases)and the observation group(52 cases)according to the random number table.The control group was given routine midwifery care during the perinatal period,and the observation group was given prospective midwifery nursing on the basis of the control group Blood volume,Apgar score.Results The natural delivery rate in the observation group was 50.77%,which was higher than 55.77%in the control group(P>0.05);the total adverse pregnancy outcome rate in the observation group was 11.54%,which was lower than 28.85%in the control group(P<0.05);compared with the control group,the total labor process,intraoperative blood loss and 2 h postpartum hemorrhage of the observation group were significantly more obvious There was no significant difference in Apgar score between the two groups(P>0.05).Conclusion prospective midwifery nursing can effectively improve the spontaneous delivery rate,shorten the labor process,reduce the amount of bleeding,and improve the adverse pregnancy outcome.