助产士早期全程连续性分娩管理模式在瘢痕子宫妊娠后阴道分娩中的应用效果  

Application effect of midwives’ early continuous delivery management model in vaginal delivery after scarred uterus pregnancy

作　　者：李艳 常晓玫[1] 广会娟[1] LI Yan;CHANG Xiao-mei;GUANG Hui-juan(Hanzhong People's Hospital, Hanzhong 723000, China)

机构地区：[1]汉中市人民医院

出　　处：《临床医学研究与实践》2019年第17期141-142,共2页Clinical Research and Practice

基　　金：汉中市人民医院科研基金项目(No.201601)

摘　　要：目的分析助产士早期全程连续性分娩管理模式在瘢痕子宫妊娠后阴道分娩中的应用效果。方法将2017年3月至2018年3月于我院接受治疗的84例瘢痕子宫妊娠后阴道分娩产妇按照随机原则分为对照组与观察组,各42例。对照组予以传统分段式方法护理,观察组予以助产士早期全程连续性分娩管理模式护理。比较两组的护理效果。结果观察组的总产程时间、住院时间均短于对照组,差异具有统计学意义(P<0.05)。观察组自然分娩人数多于对照组,产后出血及床褥感染发生率均低于对照组,差异具有统计学意义(P<0.05)。观察组总满意度高于对照组,差异具有统计学意义(P<0.05)。结论助产士早期全程连续性分娩管理模式在瘢痕子宫妊娠后阴道分娩产妇中的应用效果显著,可有效降低产后并发症发生率,提高产妇满意度,值得推广。Objective To analyze the application effect of midwives’ early continuous delivery management model in vaginal delivery after scarred uterus pregnancy. Methods A total of 84 patients of vaginal delivery after scarred uterus pregnancy treated in our hospital from March 2017 to March 2018 were randomly divided into control group and observation group, with 42 cases in each group. The control group was given traditional segmented nursing, while the observation group was given midwives’ early continuous delivery management model nursing. The nursing effects of the two groups were compared. Results The total duration of labor and hospitalization time in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). The number of natural childbirth in the observation group was more than that in the control group, and the incidence of postpartum hemorrhage and bed infection were lower than those in the control group, and the differences were statistically significant(P<0.05). The total satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant(P <0.05). Conclusion Midwives’ early continuous delivery management mode is effective in vaginal delivery after scarred uterus pregnancy, it can effectively reduce the incidence of postpartum complications and improve puerperas’ satisfaction, which is worth promoting.

关 键 词：助产士 早期全程连续性分娩管理模式 瘢痕子宫 

分 类 号：R473[医药卫生—护理学]