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对2倒克罗恩病合并妊娠产妇进行全面、个体化的剖宫产围手术期护理。护理要点包括:围手术期糖皮质激素的应用护理和疾病复发的观察,腹痛的鉴别与护理,会阴及肛周皮肤护理,母乳喂养指导,家庭支持和指导。2例产妇围手术期未出现疾病复发及活动,目前处于延续性护理随访中。面对复杂的内科疾病合并妊娠的病例,开展多科护理查房、护理会诊可以提高产科护理质量,帮助母婴获得良好的妊娠结局。
Performed a comprehensive and individual cesarean section perioperative nursing care for 2 cases of Crohn’s disease complicated with pregnant women. Key points of care include: Perioperative glucocorticoid care and relapse observation, identification and treatment of abdominal pain, perineal and perianal skin care, breastfeeding guidance, family support and guidance. Two cases of maternal perioperative recurrence and no recurrence of disease activity, the current follow-up care in the follow-up. In the face of complex cases of medical diseases combined with pregnancy, to carry out multi-disciplinary care rounds, nursing consultation can improve the quality of obstetric care to help mothers get good pregnancy outcomes.