摘要
目的探讨剖宫产术后再次妊娠孕妇分娩方式选择的影响因素及临床护理。方法选择广东省东莞市东南部中心医院产科2018年6月至2020年4月收治的100例剖宫产术后再次妊娠孕妇作为研究对象,根据其所选择的分娩方式进行分组,将选择阴道分娩的孕妇纳入参照组(55例),将选择剖宫产术辅助分娩的孕妇纳入研究组(45例)。比较两组的妊娠信息,分析其剖宫产术后再次妊娠分娩方式选择的影响因素,并提出合理的临床护理对策。结果两组剖宫产与再次妊娠间隔时间、月收入、产前体重比较,差异无统计学意义(P>0.05),研究组阴道分娩史、宫口扩张<5 cm、恐惧疼痛、文化程度低发生率高于参照组,差异有统计学意义(P<0.05);多因素Logistic回归分析结果表明,剖宫产术后再次妊娠孕妇分娩方式选择的危险因素是阴道分娩史、宫口扩张<5 cm、恐惧疼痛及文化程度低。结论宫口扩张<5 cm、恐惧疼痛是剖宫产术后再次妊娠孕妇分娩方式选择的独立影响因素,根据其因素给予针对性的护理干预,以降低孕妇剖宫产术的选择率。
Objective To explore the influencing factors and clinical nursing of pregnant women with second pregnancy after cesarean section.Methods A total of 100 pregnant women with second pregnancy after cesarean section admitted to the of Department of Obstetrics,the Southeast Central Hospital of Dongguan from June 2018 to April 2020 were selected as the research objects and divided into the study group(n=45)and the reference group(n=55)according to their selected delivery methods.The reference group was treated with vaginal delivery,while the study group was treated with cesarean section assisted delivery.The pregnancy information of the two groups was compared,the influencing factors of the choice of delivery method of the second pregnancy after cesarean section were analyzed,and the reasonable clinical nursing countermeasures were put forward.Results There were no statistically significant differences in the time interval between cesarean section and second pregnancy,monthly income,and prenatal quality between the two groups(P>0.05).The incidence of vaginal delivery history,dilatation of cervix<5 cm,fear of pain,and low educational level in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).The results of multivariate Logistic regression analysis showed that the risk factors for the choice of delivery method of pregnant women after cesarean section was the history of vaginal delivery,dilatation of cervix<5 cm,fear of pain and low education level.Conclusion Dilatation of cervix<5 cm and fear of pain are independent influencing factors for the choice of delivery methods for pregnant women after cesarean section.According to these factors,pertinent nursing interventions are given to reduce the selection rate of cesarean section for pregnant women.
作者
钟春媚
柏智
纪艳洁
乔洁
王明喜
罗合英
ZHONG Chunmei;BAI Zhi;JI Yanjie;QIAO Jie;WANG Mingxi;LUO Heying(Department of Obstetrics,the Southeast Central Hospital of Dongguan,Guangdong,Dongguan 523000,China)
出处
《中国医药科学》
2021年第1期144-147,共4页
China Medicine And Pharmacy
基金
广东省东莞市社会科技发展(重点)项目(201950715032188)。
关键词
剖宫产术
再次妊娠孕妇
宫缩疼痛
高危妊娠
Cesarean section
Pregnant women with second pregnancy
Pain of contractions
High-risk pregnancy