黄晓++林疾航++杨云英

【摘要】目的探讨不同助产护理模式对剖宫产术后阴道分娩产妇的影响。

方法选取2016年2月～2017年2月收治的68例剖宫产术后阴道分娩产妇，随机分为对照组和观察组，各34例。对照组行常规阶段式护理，观察组行全程连续性助产护理。通过视觉模拟疼痛量表（VAS）评估产妇在生产后24 h的疼痛情况，采用焦虑自评量表（SAS）对产妇产后24 h的焦虑状况进行评估，比较两组产妇自然分娩率、产后出血量及自然分娩的产程。

结果产后24 h，观察组的VAS评分和SAS评分均显著低于对照组（P<0.05）。观察组的自然分娩率高于对照组，产后出血量少于对照组，自然分娩产程短于对照组，比较差异均有统计学意义（P<0.05）。

结论对剖宫产后阴道分娩产妇行全程连续性助产护理能够缓解剖宫产后阴道分娩产妇的不良情绪，减少产后出血量及产妇自然分娩的产程，具有较好的临床推广价值。

【关键词】连续性助产护理；剖宫产；阴道分娩

中图分类号：R473.72 文献标识码：ADOI：10.3969/j.issn.10031383.2017.05.019

Influence of different midwifery nursing modes on vaginaldelivery after cesarean section

[HJ1*2][HJ]

HUANG Xiao，LIN Jihang，YANG Yunying

（The First Affiliated Hospital of Fujian Medical University，Fuzhou 350000，China）

[HJ2][HJ]

【Abstract】ObjectiveTo explore the influence of different midwifery nursing modes on vaginal delivery after cesarean section.

Methods68 women who admitted to hospital and underwent vaginal delivery after cesarean section from February，2016 to February，2017 were randomly divided into control group and observation group，with 34 cases in each group.The control group were given routine stage nursing care，and the observation group were given continuous midwifery nursing during the whole course.Visual analogue scale（VAS）was used to assess the pain of delivery women 24 h after birth，and self rating anxiety scale（SAS）was used to evaluate the anxiety status of 24 h postpartum women.In addition，natural birth rate，the amount of postpartum hemorrhage and the course of natural birth were compared between the two groups.

Results24 h after birth，the VAS score and SAS score of the observation group were significantly lower than those of the control group（P<0.05）.The natural delivery rate of the observation group was significantly higher，the amount of postpartum hemorrhage was less，and course of natural birth was shorter than those of the control group，differences were all statistically significant（P<0.05）.

ConclusionFor women with vaginal delivery after cesarean section，whole line of continuous midwifery care can alleviate their bad mood，reduce the amount of postpartum hemorrhage and shorten the course of natural birth，which has good promotion value in clinical pratice.

【Key words】continuous midwifery care；cesarean section；vaginal delivery

剖宮产是对高危妊娠和异常分娩的产妇最为有效的手术措施，其能够提高难产分娩的安全性，改变母婴的结局[1]。随着我国计划生育政策的改革，二胎生育率明显增加，剖宫产后阴道分娩产妇也逐渐增加[2]。剖宫产后再次阴道分娩容易引发多种并发症，而全程连续性助产护理能够对产妇产后并发症进行有效的控制，缓解患者因生产造成的不良情绪，提高产妇自然分娩的成功率[3]。笔者对剖宫产后阴道分娩的产妇实施全程连续性助产护理，并与常规护理进行对照，探讨不同助产护理模式对剖宫产术后阴道分娩产妇的影响，总结报道如下。……