摘要
目的探讨高危妊娠管理在瘢痕子宫阴道分娩中的应用。方法选取2012年8月—2015年11月该院接收的168例瘢痕子宫孕妇,随机分组,各84例,对照组给予常规护理,观察组给予高危妊娠管理,比较两组产妇分娩方式、分娩结局、围生儿体重、住院时间。结果高危妊娠管理后观察组阴道试产率、试产成功率、阴道分娩率均显著高于对照组,差异有统计学意义(P<0.05);观察组产后2 h出血量、24 h出血量均显著低于对照组,差异有统计学意义(P<0.05);观察组新生儿出生体重显著低于对照组,住院天数显著低于对照组,差异有统计学意义(P<0.05)。结论高危妊娠管理可改变产妇分娩方式,改善瘢痕子宫产妇分娩结局,减少产妇产后出血量。
Objective To study the application of high risk pregnancy management in the scarred uterus vaginal delivery.Methods 168 cases of pregnant women with scarred uterus admitted in our hospital from August 2012 to November 2015 were selected and randomly divided into two groups with 84 cases in each, the control group were given routine nursing, the observation group were given high-risk pregnancy management, and the delivery method, delivery outcome, perinatal weight and length of stay were compared between the two groups. Results After the high-risk pregnancy management, the vaginal trial production rate, success rate of trial production and vaginal birth rate in the observation group were obviously higher than those in the control group, and the differences had statistical significance, P0.05, the bleeding volumes after postpartum 2h and 24 h in the observation group were obviously lower than those in the control group, and the differences had statistical significance, P0.05; the birth weight of newborns in the observation group was obviously lower than that in the control group, and the length of stay was lower than that in the control group, and the difference had statistical significance, P0.05. Conclusion The high-risk pregnancy management can change the delivery method of pregnant women, improve the delivery outcome of pregnant women with scarred uterus and reduce the postpartum bleeding volume.
出处
《中国卫生产业》
2016年第18期43-45,共3页
China Health Industry
关键词
高危妊娠管理
瘢痕子宫
阴道分娩
High-risk pregnancy management
Scarred uterus
Vaginal delivery