综合护理干预及妇幼卫生信息管理平台应用对瘢痕子宫再次妊娠分娩结局影响的研究

Influence of comprehensive nursing intervention and the application of maternal and child health information management platform on the outcome of re-pregnancy in scarred uterus

目的探讨综合护理干预及妇幼卫生信息管理平台应用对瘢痕子宫再次妊娠分娩结局的影响。方法选取2020年3—11月阳江市妇幼保健院收治的200例瘢痕子宫再次妊娠产妇作为研究对象,按照随机数字表法分为对照组(100例)与观察组(100例)。对照组采用常规产前门诊与健康教育,观察组采用瘢痕子宫综合护理干预及妇幼卫生信息平台管理。比较两组的分娩方式,阴道分娩总产程,产时、产后24 h出血量,产后并发症发生情况,新生儿体重,1、5 min新生儿Apgar评分。结果观察组的阴道分娩例数多于对照组,总产程短于对照组,产时出血量、产后24 h出血量少于对照组,差异均有统计学意义(P<0.05)。观察组的产后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组的新生儿体重低于对照组,1 min Apgar评分低于对照组,差异均有统计学意义(P<0.05),两组的5 min Apgar评分比较,差异无统计学意义(P>0.05)。结论综合护理干预及妇幼卫生信息管理平台在瘢痕子宫再次妊娠孕妇应用可改善分娩结局。

Objective To explore the influence of comprehensive nursing intervention and the application of maternal and child health information management platform on the outcome of re-pregnancy and delivery in scarred uterus.Methods A total of 200 re-pregnant women with scarred uterus who were admitted to Yangjiang Maternal and Child Health Hospital from March to November 2020 were selected as the research subjects.According to the random number table method,they were divided into the control group(n=100)and the observation group(n=100).In the control group,routine prenatal clinics and health education were used,and in the observation group,scarred uterus comprehensive nursing intervention and maternal and child health information platform management were adopted.The delivery methods,the total labor of vaginal delivery,the amount of bleeding during delivery and 24 h after delivery,the occurrence of postpartum complications,the weight of the newborn,and the Apgar scores of the newborn at 1 and 5 min of the two groups were compared.Results The observation group had more vaginal delivery cases than the control group,and the total labor was shorter than that of the control group,the amount of bleeding during delivery and 24 h after delivery were lower than those in the control group,with statistical differences(P<0.05).The rate of postpartum complications occurred in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The weight of newborns in the observation group was lower than that in the control group,and the Apgar score at 1 min was lower than that in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in 5 min Apgar score between the groups(P>0.05).Conclusion The application of comprehensive nursing intervention and maternal and child health information management platform to pregnant women with scarred uterus can improve the outcome of childbirth.