目的 探讨综合护理干预与瘢痕子宫再次足月妊娠分娩的关系.方法 选择本院住院分娩的1700例适合自然阴道分娩的瘢痕子宫再次足月妊娠的孕妇,采用随机数字表法选取其中250例作为对照组,进行常规产检、孕产妇监护及分娩评估等措施.再选取500例作为实验组,除常规的措施外,增加产前健康指导及全程导乐陪产的干预,对2组产妇的分娩情况进行比较.结果 实验组阴道分娩率为86.0％,阴道分娩成功率为45.1％,对照组分别为26.4％、12.1％,2组阴道分娩率及阴道分娩成功率比较差异有统计学意义(P＜0.05).与对照组比较,实验组产程较短,且胎儿窘迫、产后大出血、新生儿窒息的发生率以及阴道助产率均较低,差异有统计学意义(P＜0.05).结论 应用综合护理对瘢痕子宫再次足月妊娠分娩的产妇进行干预,可提高阴道分娩率和成功率,缩短产程,减轻母体疼痛,降低并发症的发生率,从而改善母婴预后.%Objective To study the relationship between comprehensive nursing intervention and full-term delivery of scar uterus.Methods A total of 1700 cases with uterine scar suitable for natural vaginal delivery were selected as research objects,and 250 cases were selected as the control group,given routine check,maternal care and delivery evaluation and 500 cases were selected as experimental group prenatal health guidance and Doula accompany intervention based on conventional measures,the delivery condition of the pregnancy in the two groups were compared.Results Vaginal delivery rate was 86％,and vaginal delivery success rate was 45.1％ in the experimental group,and were 26.4％,12.1％ in the control group,and there was significant difference in vaginal delivery rate and vaginal delivery success rate (P ＜ 0.05).Compared with the control group,experimental group had shorter labor time and lower incidences of fetal distress,postpartum hemorrhage,neonatal asphyxia and vaginal delivery rate,and the differences were statistically significant(P ＜0.05).Conclusion Comprehensive care for full-term delivery for the pregnancy with uterine scar can increase the rate of vaginal delivery and successful rate,shorten the production process,and reduce maternal pain and the incidence of complications so as to improve the maternal health outcomes.
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