实施产前综合护理对瘢痕子宫孕妇分娩结局的影响研究

Effect of comprehensive prenatal care on outcome of childbirth in pregnant women with scar uterus

目的探究实施产前综合护理对瘢痕子宫孕妇分娩结局的影响。方法选取2019年10月—2020年4月收治的瘢痕子宫孕妇120例为研究对象,根据孕妇入院后病床尾号单双号不同原则分为对照组(单号60例)与观察组(双号60例)。对照组实施常规的产前检查、产前监护、交代分娩的评估情况,观察组实施产前综合护理,记录第一、二、三产程时间,比较两组分娩结局(阴道分娩成功例数、中转剖宫产例数、胎儿窘迫、新生儿窒息、新生儿Apgar评分、新生儿体质量、产后出血量),比较两组产妇对护理服务的满意程度。结果观察组第一、二、三产程时间均短于对照组,差异有统计学意义(P<0.05)。观察组阴道分娩率、新生儿Apgar评分均高于对照组,中转剖宫产率、胎儿窘迫率、新生儿窒息率、新生儿体质量、产后出血量均少于对照组,差异有统计学意义(P<0.05)。观察组满意率高于对照组,差异有统计学意义(P<0.05)。结论瘢痕子宫再次妊娠孕妇实施产前综合护理可缩短产程时间,提升阴道分娩成功率,降低胎儿窘迫、新生儿窒息发生率,提升新生儿Apgar评分,降低新生儿体质量及产后出血量,提升产妇对护理服务满意度。

Objective To explore the effect of comprehensive prenatal care on the outcome of childbirth in pregnant women with scar uterus.Methods A total of 120 pregnant women with scar uterus admitted from October 2019 to April 2020 were selected as study subjects,and were divided into a control group(60 cases with odd number)and an observation group(60 cases with even number)accorded to the number of ward bed.The control group ordered routine prenatal examination,prenatal care,and delivery evaluation,while the observation group received comprehensive prenatal care.The time of the first,second,and third stages of labor were recorded,and the outcomes of delivery(number of successful vaginal delivery,number of caesarean section delivery,fetal distress,neonatal asphyxia,neonatal Apgar score,birth weight,and postpartum hemorrhage)were compared between the two groups,and the satisfaction between the two groups of maternal care services was compared.Results The first,second,and third stages of labor were shorter in the observation group than those in the control group(P<0.05).The rate of vaginal delivery and Apgar score of newborns in the observation group were all higher than those in the control group,and the rate of cesarean section,fetal distress,neonatal asphyxia,birth weight,and postpartum hemorrhage in the observation group were all lower than those in the control group(P<0.05).The satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion Comprehensive prenatal care for pregnant women with scar uterus can reduce labor time,fetal distress,neonatal asphyxia,neonatal weight,and postpartum hemorrhage,as well as increase the success rate of vaginal delivery,the Apgar score of newborn,and mothers’satisfaction with nursing services.