孕产期管理对剖宫产术后阴道试产的影响  

Pregnant and Puer-peral Period Manage Ment to Trial of Labor after Cesarean of Influencing

作　　者：许虹艳[1] 

机构地区：[1]江苏省宝应县人民医院妇产科,225800

出　　处：《医学理论与实践》2017年第2期179-181,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨孕产期管理对剖宫产术后阴道试产的影响及分娩恐惧的护理。方法:选取剖宫产术后阴道试产的妇女60例,随机分为实验组和对照组,各30例。实验组予以孕产期管理;对照组按常规护理并按孕妇意愿阴道试产。观察两组产程时间、产后出血量、分娩方式及新生儿窒息发生率的差异。结果:实验组较对照组产后出血少、产程时间缩短、自然分娩率比对照组高,差异有统计学意义(P<0.05)。两组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论:孕产期管理,有助于剖宫产术后阴道试产成功,缩短产程,提高阴道分娩率。Objective：To explore the pregnant and puer-peral period manage ment to trial of labor after cesarean of influencing,Nursing care of the fear of childbirth.Methods：A total of 60 cases of woman with trial of labor after cesarean were recruited and randomly divided into two groups（30cases in each group）.The experimental group was given pregnant and puer-peral period manage ment.The control group was supported with routine nursing intervention and could take trial of labor at their own will.The delivery mode,duration of labor,postpartum bleeding,incidence of persistent occipitoposterior position and the rate of neonatal asphyxia of two groups were observed.Results：The first and second stage of labor in the experimental group were shorter than the control group（P〈0.05）.Compared with the control group,the experimental group had a lower rate of persistent occipitoposterior position,lower rate of postpartum bleeding and higher rate of vaginal delivery.There was no significant difference in the neonatal asphyxia rate of the two groups（P〉0.05）.Conclusion：Pregnant and puer-peral period manage ment,trial of labor after cesarean of labor helps success,shorten duration of labor and increase proportion of taginal delivery.

关 键 词：孕产期 管理 剖宫产术后阴道试产 分娩恐惧 

分 类 号：R717[医药卫生—妇产科学]