人性化护理模式对自由体位分娩生殖道损伤、产后出血及新生儿健康的影响

Impacts of humanized nursing mode on reproductive tract injury,postpartum hemorrhage and neonatal health after free position delivery

目的探究人性化护理模式对自由体位分娩生殖道损伤、产后出血及新生儿健康的影响。方法选取2018年2月至2019年12月在江门市妇幼保健院进行自由体位分娩的300例产妇为研究对象,按照护理方式不同分为常规组和人性化组各150例,所有产妇均进行一般护理,人性化组在此基础上增加人性化护理,比较两组生殖道损伤、产后出血发生情况以及新生儿健康情况。结果人性化组会阴裂伤、宫颈裂伤、会阴侧切、产后出血、新生儿感染与新生儿窒息发生率远低于常规组(P<0.05);人性化组Apgar评分显著高于常规组(P<0.05)。结论人性化护理模式应用于自由体位分娩能有效降低产妇生殖道损伤及产后出血的发生率,改善新生儿健康状况。

Objective To investigate the impacts of humanized nursing mode on reproductive tract injury,postpartum hemorrhage and neonatal health after free position delivery.Methods A total of 300 cases of pregnant women delivering in free position and admitted to Jiangmen Maternity and Child Health Care Hospital from February 2018 to December 2019 were selected as the research objects,and they were divided into the conventional group(n=150)and the humanized group(n=150)according to different nursing methods.All pregnant women were treated with general nursing,while the humanized group was treated with humanized nursing on the basis of the general nursing.Meanwhile,the incidences of reproductive tract injury and postpartum hemorrhage and neonatal health were compared between the two groups.Results The incidences of perineal laceration,cervical laceration,lateral episiotomy,postpartum hemorrhage,neonatal infection and neonatal asphyxia in the humanized group were much lower than those in the conventional group(P<0.05).Apgar score in the humanized group was significantly higher than that in the conventional group(P<0.05).Conclusion The application of humanized nursing mode in free position delivery can effectively reduce the incidence of maternal reproductive tract injury and postpartum hemorrhage,and improve the health status of neonates.