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目的探讨助产护理干预对高龄产妇分娩方式及分娩结局的影响。方法 102例住院分娩的高龄产妇,采取随机数字表法分为观察组和对照组,各51例。对照组采用常规护理干预,观察组采用助产士负责制一对一式全程陪护的新型助产护理干预。观察比较两组高龄产妇的分娩方式、产程及分娩结局情况。结果观察组自然分娩率为72.5%,对照组自然分娩率为52.9%,观察组自然分娩率高于对照组,差异具有统计学意义(P<0.05);与对照组比较,观察组自然分娩产妇在第一产程、第二产程及总产程所需时间明显短于对照组,差异具有统计学意义(P<0.05)。观察组在产后出血量、新生儿Apgar评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分方面均优于对照组,差异具有统计学意义(P<0.05)。结论对高龄产妇实施助产护理干预可有效缩短产程,提高自然分娩率,减少产后出血,降低产妇心理负面情绪及新生儿窒息率,值得产科临床推广。
Objective To explore the effect of midwifery nursing intervention on the mode of delivery and delivery outcome of the older mothers. Methods A total of 102 elderly women who were hospitalized for delivery were randomly divided into observation group (n = 51) and control group (n = 51). The control group received routine nursing intervention, and the observation group used midwife to take care of the new midwifery nursing intervention. Observe and compare the mode of delivery, labor process and delivery outcome of two groups of elder mothers. Results The rate of spontaneous delivery was 72.5% in the observation group and 52.9% in the control group. The rate of natural childbirth in the observation group was higher than that in the control group (P <0.05). Compared with the control group, the spontaneous delivery rate The time required for the first stage of labor, the second stage of labor and the total stage of labor was significantly shorter than that of the control group, with a statistically significant difference (P <0.05). The observation group was better than the control group in postpartum hemorrhage, Apgar score, self-rating anxiety scale (SAS) and depression scale (SDS), the difference was statistically significant (P <0.05). Conclusions The midwifery nursing intervention can effectively shorten the labor process, increase the rate of natural childbirth, reduce the postpartum hemorrhage, reduce the psychological negative emotions of maternal and neonatal asphyxia, which is worthy of clinical promotion.