剖宫产术后再次妊娠阴道分娩产程的观察及护理  

作　　者：张翠琼[1] 何桂华[1] 王冬梅[1] 陈健飞[1] 

机构地区：[1]广东省第二人民医院产科,广东广州510317

出　　处：《现代临床护理》2008年第12期30-31,共2页Modern Clinical Nursing

摘　　要：目的总结剖宫产术后再次妊娠阴道分娩产程观察及护理要点。方法对具备阴道试产指征的60例剖宫产术后再次妊娠阴道分娩的孕妇,做好产程观察和心理护理等护理。观察记录产妇产程、分娩方式、产后出血量等情况。结果60例阴道试产孕妇54例成功阴道分娩,其中自然阴道分娩42例(77.78%),阴道助产12例(22.22%);6例阴道试产不成功改为行剖宫产。产程过程中应用催产素加强宫缩40例,1例发生产后出血,无1例发生子宫破裂、新生儿窒息等并发症。结论加强产程的监护和做好心理护理是提高剖宫产术后再次妊娠经阴道分娩成功的关键。Objective To summarize labor observation of vaginal delivery after cesarean section and the major points of nursing. Methods 60 pregnant women with cicatrical uterus indicating to trial labor were cared about by nursing intervention of labor observation and mental nursing. The labor course, delivery style and postpartum hemorrhage volume were observed. Results Fifty four of them were successful in vaginal delivery： 42 cases of spontaneous vaginal delivery （77.78%） and 12 cases of aided vaginal delivery （22.22%）. Six of them were unsuccessful in vaginal delivery, turning to cesarean section. Oxytocin was used in 40 for accelerating uterine contraction, postpartum hemorrhage happened in 1 case. No metrorrhexis or neonatal asphyxia happened. Conclusion Reinforced monitoring during delivery and well-performed mental care are key to vaginal delivery after cesarean section.

关 键 词：瘢痕子宫 阴道分娩 护理 

分 类 号：R473.71[医药卫生—护理学]