瘢痕子宫孕妇阴道试产的全过程连续性助产护理体会

The Nursing Experience of Continuous Midwifery in the Whole Process of Vaginal Trial Birth for Pregnant Women with Scar Uterus

目的:探究瘢痕子宫孕妇阴道试产的全过程连续性助产护理效果。方法:选取阳江市妇幼保健院2019年6月-2020年6月收治的100例瘢痕子宫孕妇为研究对象,随机分为对照组50例与观察组50例。对照组开展常规助产,观察组开展全过程连续性助产,观察比较两组分娩方式、产后2 h出血量、产程,产前、产后焦虑评分,新生儿情况及对护理满意度。结果:观察组阴道分娩率为94.00%(47/50),高于对照组的70.00%(35/50),差异有统计学意义(χ^2=9.756,P=0.002);观察组第一、二、三产程时间均短于对照组,差异均有统计学意义(P<0.05);观察组产前、产后焦虑评分均低于对照组,护理满意度评分高于对照组,差异均有统计学意义(P<0.05);观察组产后2 h出血量低于对照组,新生儿Apgar评分高于对照组,新生儿体重低于对照组,差异均有统计学意义(P<0.05)。结论:全过程连续性助产护理在瘢痕子宫孕妇阴道试产中应用可提升阴道分娩成功率,降低产后2 h出血量,缩短产程,改善产前产后焦虑状态与新生儿情况,提升护理满意度。

Objective:To explore the nursing effect of continuous midwifery in the whole process of vaginal trial for pregnant women with scar uterus.Method:A total of 100 pregnant women with scarred uterus admitted to the Yangjiang Maternity and Child Health Hospital from June 2019 to June 2020 were selected as the research objects,and they were randomly divided into the control group of 50 cases and the observation group of 50 cases.The control group received routine midwifery,while the observation group received whole process continuous midwifery.The delivery mode,2 h postpartum blood loss,labor process,prenatal and postpartum anxiety score,newborn condition and satisfaction degree of nursing service were observed and compared between the two groups.Result:The vaginal delivery rate in the observation group was 94.00% (47/50),which was higher than 70.00% (35/50) in the control group,the difference was statistically significant (χ^2=9.756,P=0.002).The time of the first,second and third stage of labor in the observation group was shorter than that in the control group,the difference was statistically significant (P<0.05).The prenatal and postnatal anxiety scores in the observation group were lower than those in the control group,and the nursing satisfaction score in the observation group was higher than that in the control group,the differences were statistically significant (P<0.05).The 2 h postpartum blood loss in the observation group was lower than that in the control group,the Apgar score of newborn was higher than that in the control group,and the weight of newborn was lower than that in the control group,the differences were statistically significant (P<0.05).Conclusion:The application of whole process continuous midwifery nursing in vaginal trial delivery of pregnant women with scar uterus can improve the success rate of vaginal delivery,reduce 2 h postpartum blood loss,shorten the labor process,improve the state of prenatal and postpartum anxiety and neonatal conditions,and enhance nursing satisfaction.