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助产护理对高龄产妇分娩结局的影响观察

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摘要 目的:观察和分析高龄产妇应用助产护理对其分娩结局产生的影响。方法:将2018年6月-2020年5月在本院分娩的134例高龄产妇通过随机数表法分为两组,对照组与观察组分别纳入产妇67例,分别应用常规助产护理模式及个体化助产护理模式,对比两组分娩方式、阴道分娩产妇产程用时、母婴并发症发生情况及产妇的助产护理满意情况。结果:相比于对照组,观察组产妇具有更高的自然分娩率(P<0.05);两组剖宫产率及阴道助产率差异无统计学意义(P>0.05)。两组比较,观察组产妇第一产程、第二产程及总产程用时均更短(P<0.05),两组产妇第三产程用时无显著差异(P>0.05)。对比两组母婴并发症总发生率可知,观察组具有明显更低的并发症总发生率,两组母婴并发症总发生率有显著差异(P<0.05)。观察组产妇对助产护理具有更高的满意度(P<0.05)。结论:高龄产妇应用个体化助产护理可改善其分娩结局,提高阴道自然分娩率,减少母婴并发症,有助于维护母婴安全和健康,可使产妇对助产护理的满意度得到显著提高。 Objective:To observe and analyze the impact of midwifery care on the delivery outcomes of elderly postpartum women.Method:134 elderly postpartum women who gave birth in our hospital from June 2018 to May 2020 were randomly divided into two groups using a random number table method.The control group and the observation group were included in 67 postpartum women,and conventional and personalized midwifery care models were applied.The delivery methods,vaginal delivery time,maternal and infant complications,and satisfaction with midwifery care were compared between the two groups.Result:Compared with the control group,the observation group had a higher natural delivery rate(P<0.05);There was no statistically significant difference in cesarean section rate and vaginal delivery rate between the two groups(P>0.05).Compared with the two groups,the observation group had shorter time for the first,second,and total stages of labor(P<0.05),while there was no significant difference in time for the third stage of labor between the two groups(P>0.05).Comparing the total incidence of maternal and infant complications between the two groups,it can be seen that the observation group has a significantly lower total incidence of complications,and there is a significant difference in the total incidence of maternal and infant complications between the two groups(P<0.05).The observation group showed higher satisfaction with midwifery care(P<0.05).Conclusion:The application of personalized midwifery care for elderly mothers can improve their delivery outcomes,increase the natural vaginal delivery rate,reduce maternal and infant complications,help maintain maternal and infant safety and health,and significantly increase the satisfaction of mothers with midwifery care.
出处 《黑龙江中医药》 2023年第4期300-302,共3页 Heilongjiang Journal of Traditional Chinese Medicine
关键词 高龄产妇 助产护理 分娩方式 产程 母婴并发症 助产护理满意度 elderly postpartum women Midwifery care Delivery method Labor process Maternal and infant complications Satisfaction with midwifery care
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