瘢痕子宫再次妊娠患者阴道分娩的安全性及护理方法分析
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摘要
目的探讨瘢痕子宫再次妊娠患者阴道分娩的安全性及护理方法。方法选取我院妇产科收治的瘢痕子宫再次妊娠行阴道分娩的患者44例(均为2017年7月～2018年7月期间)作为观察组,同时选取同一时期收治的非瘢痕子宫行阴道分娩的患者44例作为对照组。记录两组患者术中指标新生儿情况,同时观察两组术后并发症发生情况。结果此次研究中,两组产程时间、术中出血量、新生儿Apgar评分与新生儿体重经对比,两组差异无统计学意义(P> 0.05);同时,两组并发症发生率差异无统计学意义(P> 0.05)。结论瘢痕子宫再次妊娠患者选择阴道分娩具有一定可行性,但临床应判断患者是否具备阴道分娩的指征,促进患者分娩安全性的提升。
Objective To explore the safety and nursing methods of vaginal delivery for patients with scar uterus who have second pregnancy. Methods 44 patients with scar uterus who had second pregnancy and underwent vaginal delivery in department of obstetrics and gynecology of our hospital from July 2017 to July 2018 were selected as observation group. 44 patients with vaginal delivery of non-scarred uterus who were admitted in the same period were selected as the control group.Intraoperative indexes and newborn conditions of two groups were recorded. In addition, the occurrence of postoperative complications of two groups was observed. Results In this study, there was no statistically significant difference in duration of labor, intraoperative blood loss, neonatal Apgar score and neonatal weight(P > 0.05). Meanwhile,there was no statistically significant difference in the incidence of complications between the two groups(P > 0.05).Conclusion It is feasible to select vaginal delivery for patients with scar uterus who have second pregnancy. However, it is necessary to judge whether the patient has indications for vaginal delivery to promote the improvement of safety of delivery.
Objective To explore the safety and nursing methods of vaginal delivery for patients with scar uterus who have second pregnancy. Methods 44 patients with scar uterus who had second pregnancy and underwent vaginal delivery in department of obstetrics and gynecology of our hospital from July 2017 to July 2018 were selected as observation group. 44 patients with vaginal delivery of non-scarred uterus who were admitted in the same period were selected as the control group.Intraoperative indexes and newborn conditions of two groups were recorded. In addition, the occurrence of postoperative complications of two groups was observed. Results In this study, there was no statistically significant difference in duration of labor, intraoperative blood loss, neonatal Apgar score and neonatal weight(P > 0.05). Meanwhile,there was no statistically significant difference in the incidence of complications between the two groups(P > 0.05).Conclusion It is feasible to select vaginal delivery for patients with scar uterus who have second pregnancy. However, it is necessary to judge whether the patient has indications for vaginal delivery to promote the improvement of safety of delivery.
引文
[1]刘征.疤痕子宫再次妊娠经阴道分娩的可行性及安全性临床分析[J].齐齐哈尔医学院学报, 2016, 37(7):942-943.
[2]蒋美琴,陈霞,凌静.疤痕子宫再次妊娠阴道分娩的临床结局及可行性分析[J].川北医学院学报, 2016, 31(5):700-703.
[3]范裕如,周雪,侯雯雯,等.瘢痕子宫再次妊娠经阴道分娩132例临床分析[J].江苏医药, 2016, 42(21):2371-2372.
[4]宋佳轶.瘢痕子宫再次妊娠早产产妇经阴道分娩的临床护理[J].实用临床医药杂志, 2016, 20(18):144-146.
[5]叶清花.瘢痕子宫再次妊娠阴道分娩的产程观察与护理[J].医疗装备, 2016, 29(18):149-150.
[6]黄丽燕.疤痕子宫再次妊娠分娩方式的选择及经阴道分娩安全性的临床分析[J].实用妇科内分泌电子杂志,2016, 3(17):195-195.
[7]张少玉,陈小宁,彭宁,等.疤痕子宫再次妊娠经阴道分娩90例临床分析[J].福建医药杂志, 2016, 38(2):28-29.
[8]莫丹霞.护理干预对瘢痕子宫再次妊娠阴道分娩的影响分析[J].中外医学研究, 2017, 15(4):65-67.
[9]杨恒生.疤痕子宫再次妊娠行阴道分娩的临床效果及安全性分析[J].齐齐哈尔医学院学报, 2016, 37(36):4515-4516.
[10]张静涛,张蕊,贾蕊莉,等.剖宫产术后瘢痕子宫再次足月妊娠阴道分娩240例临床分析[J].陕西医学杂志, 2016, 45(5):583-584.
[11]金京姬.瘢痕子宫再次妊娠阴道分娩的产程护理分析[J].实用妇科内分泌杂志(电子版), 2017, 4(20):79-80.
[12]马淑琴,郭媛,强焕珍,等.瘢痕子宫再次妊娠阴道分娩方式选择的影响因素研究[J].宁夏医科大学学报,2016, 38(10):1176-1178.
[13]杨爱婷.瘢痕子宫再次妊娠产妇经阴道分娩的安全性[J].中国医药科学, 2016, 6(12):101-103.
[14]郑玉玲,汪涵,宋启敏,等.瘢痕子宫再次妊娠患者下段肌壁厚度及分娩间隔时间与阴道试产结局的关系[J].中华全科医学, 2017, 15(8):1451-1453.
[2]蒋美琴,陈霞,凌静.疤痕子宫再次妊娠阴道分娩的临床结局及可行性分析[J].川北医学院学报, 2016, 31(5):700-703.
[3]范裕如,周雪,侯雯雯,等.瘢痕子宫再次妊娠经阴道分娩132例临床分析[J].江苏医药, 2016, 42(21):2371-2372.
[4]宋佳轶.瘢痕子宫再次妊娠早产产妇经阴道分娩的临床护理[J].实用临床医药杂志, 2016, 20(18):144-146.
[5]叶清花.瘢痕子宫再次妊娠阴道分娩的产程观察与护理[J].医疗装备, 2016, 29(18):149-150.
[6]黄丽燕.疤痕子宫再次妊娠分娩方式的选择及经阴道分娩安全性的临床分析[J].实用妇科内分泌电子杂志,2016, 3(17):195-195.
[7]张少玉,陈小宁,彭宁,等.疤痕子宫再次妊娠经阴道分娩90例临床分析[J].福建医药杂志, 2016, 38(2):28-29.
[8]莫丹霞.护理干预对瘢痕子宫再次妊娠阴道分娩的影响分析[J].中外医学研究, 2017, 15(4):65-67.
[9]杨恒生.疤痕子宫再次妊娠行阴道分娩的临床效果及安全性分析[J].齐齐哈尔医学院学报, 2016, 37(36):4515-4516.
[10]张静涛,张蕊,贾蕊莉,等.剖宫产术后瘢痕子宫再次足月妊娠阴道分娩240例临床分析[J].陕西医学杂志, 2016, 45(5):583-584.
[11]金京姬.瘢痕子宫再次妊娠阴道分娩的产程护理分析[J].实用妇科内分泌杂志(电子版), 2017, 4(20):79-80.
[12]马淑琴,郭媛,强焕珍,等.瘢痕子宫再次妊娠阴道分娩方式选择的影响因素研究[J].宁夏医科大学学报,2016, 38(10):1176-1178.
[13]杨爱婷.瘢痕子宫再次妊娠产妇经阴道分娩的安全性[J].中国医药科学, 2016, 6(12):101-103.
[14]郑玉玲,汪涵,宋启敏,等.瘢痕子宫再次妊娠患者下段肌壁厚度及分娩间隔时间与阴道试产结局的关系[J].中华全科医学, 2017, 15(8):1451-1453.