摘要
目的探讨剖宫产术后产妇再次妊娠后经阴道分娩的安全性及临床护理措施。方法选取2015年1月—2016年6月收治的剖宫产术后再次妊娠的足月产妇79例,将成功阴道分娩的产妇35例作为试产组,采用剖宫产分娩的产妇44例作为剖宫组。分析2组新生儿1 min Apgar评分和体质量,以及产妇分娩相关指标。结果与剖宫组产妇相比,试产组产妇距前次子宫手术时间较长(P<0.05),产后出血量和第一产程时间均减少(P<0.01)。试产组新生儿1 min Apgar评分高于剖宫组(P<0.01),体质量低于剖宫组(P<0.05)。结论剖宫产术后再次妊娠产妇在严格按照标准护理路径情况下,可以选择阴道分娩方式。
Objective To analyze the safety of vaginal birth after cesarean section in women and to summarize related nursing management. Methods Totally 79 pregnant women after cesarean section were included,in which 35 cases received vaginal delivery and another 44 cases received cesarean section. To retrospectively analyze the maternity delivery conditions,1 min Apgar score and bodyweight of newborns. Results Compared with women with cesarean section,those with vaginal delivery had a longer duration since last cesarean section( P < 0. 05),less amount of postpartum hemorrhage and shorter first stage of labor( P < 0. 01). Newborns of those with vaginal delivery had higher 1 min Apgar score( P < 0. 01) and lower body weight at birth( P < 0. 05)compared with those of women with cesarean section. Conclusion As long as the standard nursing pathway is strictly followed,vaginal birth may be an alternative way for pregnant women after last cesarean section.
出处
《中西医结合护理（中英文）》
2017年第11期88-90,共3页
Journal of Clinical Nursing in Practice
基金
珠海市科技计划医疗卫生项目(一般项目)(20161027E030078)
