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目的探讨掌握高龄初产妇产前需求指导和产后健康指导的意义。方法按照随机数字表法将住院分娩的248例初产妇分为对照组和观察组,每组124例。对照组实施常规护理干预,观察组在对照组常规护理干预基础上实施与产妇共同拟定分娩计划书干预。统计与比较两组产妇护理前、后不良情绪变化、分娩方式、出血情况、产程时间及并发症。结果经护理干预后,两组产妇抑郁、焦虑评分较干预前明显下降,但观察组较对照组下降显著;两组产妇分娩方式比较,且观察组剖宫产率明显低于对照组。观察组第一、二产程及产后出血量均明显少于对照组;观察组第一、二产程及总产程时间均明显短于对照组。观察组低体质儿、早产、胎膜早破、妊娠高血压率均明显低于对照组,而两组胎死宫内及胎儿窘迫率比较。结论实施与产妇共同拟定分娩计划书,于产妇人群中可稳定其情绪,减少剖宫产,促进产程顺利,减少出血量,保障母婴安全。
Objective To explore the significance of grasping prenatal needs guidance and postpartum health guidance for the elderly primipara. Methods According to the random number table, 248 cases of primipara in hospital delivery were divided into control group and observation group with 124 cases in each group. Control group to implement routine nursing intervention, observation group in the control group on the basis of routine nursing intervention and maternal work together to develop childbirth plan intervention. Statistics and comparison of maternal care before and after the adverse emotional changes, mode of delivery, bleeding, labor time and complications. Results After nursing intervention, the depression and anxiety scores of the two groups were significantly lower than those before the intervention, but the observation group had a significant decrease compared with the control group. The delivery modes of the two groups were compared, and the rate of cesarean section in the observation group was significantly lower than that of the control group. The first and second stage of labor and the amount of postpartum hemorrhage in the observation group were significantly less than those in the control group. The first, second stage of labor and the length of labor in the observation group were significantly shorter than those in the control group. The observation group with low birth weight, premature labor, premature rupture of membranes, pregnancy rate of hypertension were significantly lower than the control group, while the two groups of fetal death and fetal distress rate comparison. Conclusions The implementation of maternity and childbirth plan together to develop, in the maternal population can stabilize their emotions, reduce cesarean section, to promote labor smoothly, reduce blood loss, protect the safety of mother and child.