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目的探讨无保护会阴接生的临床观察和护理措施。方法采取方便抽样法抽取10例于2015年6月至2016年6月期间来我院采取无保护会阴接生分娩的产妇,以随机数字表法分为观察组和对照组,各组50例。对照组给予常规护理,观察组在此基础上给予情绪护理、宫缩指导、全程陪产、胎儿分娩护理。结果产妇会阴侧切率,观察组显著低于对照组;产妇会阴裂伤程度,观察组显著低于对照组;比较差异存在统计学意义P<0.05。第二产程时间、新生儿窒息率,观察组与对照组相当,比较差异不存在统计学意义P>0.05;产后2h出血量,观察组显著少于对照组,比较差异存在统计学意义P<0.05。结论对无保护会阴接生分娩产妇在常规护理基础上,给予情绪护理、宫缩指导、全程陪产、胎儿分娩护理,能够降低产妇会阴侧切率和会阴裂伤程度,减少产后出血量,应用效果显著。
Objective To investigate the clinical observation and nursing measures of unprotected perineal delivery. Methods A total of 50 women in each group were randomly divided into observation group and control group by random sampling method in 10 samples collected from June 2015 to June 2016 in our hospital for unprotected perineal delivery. The control group was given routine care, and the observation group was given emotional care, contractions guidance, full paternity and fetus childbirth care on this basis. Results The rate of perineum lateral cleavage in the observation group was significantly lower than that in the control group. The degree of perineal laceration in the observation group was significantly lower than that in the control group. The difference was statistically significant (P <0.05). The second stage of labor, neonatal asphyxia, observation group and control group, the difference was not statistically significant P> 0.05; 2h postpartum hemorrhage, the observation group was significantly less than the control group, the difference was statistically significant P <0.05 . Conclusions The nursing of unprotected perineal birth delivery gives emotional care, contractions guidance, full paternity and fetal delivery care, which can reduce the rate of perineal episiotomy and perineal laceration and reduce the amount of postpartum hemorrhage.