摘要
目的探讨助产士连续性服务模式在瘢痕子宫孕妇阴道分娩中的应用效果。方法便利抽样法选择2016年4月至2017年3月在上海交通大学医学院附属国际和平妇幼保健院就诊的有阴道分娩意愿、符合剖宫产术后再次妊娠阴道试产(trial of labor after cesarean section,TOLAC)条件且自愿参加助产士咨询门诊的孕妇635例为研究对象,对其实施助产士连续性服务模式,对该模式开展前后瘢痕子宫孕妇剖宫产术后再次妊娠阴道分娩(vaginal birth after cesarean,VBAC)的情况及母婴结局进行比较。结果开展助产士连续性服务模式后,635例孕妇中,最终VBAC 130例,与开展前(2013-2015年)比较,剖宫产率、VBAC产妇的会阴侧切率及新生儿窒息发生率均有所降低,差异均有统计学意义(均P<0.05)。结论助产士连续性服务模式的应用,有利于提高瘢痕子宫孕妇TOLAC的成功率,保障母婴安全。
Objective To investigate the effect of continuous midwives’service mode on trial of labor after cesarean section(TOLAC).Methods The convenience sampling method was used to select 635pregnant women who were admitted in the hospital from April 2016to March 2017with the intention of the vaginal delivery,who met the conditions of TOLAC.The continuous midwives’service mode was implemented, the maternal and infant outcomes of scar uterus pregnant women with vaginal delivery were compared before and after the implementation.Results After application of the continuous midwives service model, 130out of 635pregnant women had vaginal delivery.Compared with the pre-launch(from 2013to 2015), the cesarean section rate,the perineal incision rate of vaginal delivery women and the incidence of neonatal asphyxia were reduced,and the difference was statistically significant(all P<0.05).Conclusions The application of continuous midwives’service mode is conducive to improving the success rate of vaginal delivery of scar uterus pregnant women and ensuring the safety of mothers and infants.
作者
朱玮
陈焱
陆婷
仇静波
ZHU Wei;CHEN Yan;LU Ting;QIU Jingbo(Department of Obstetrics,International Peace Maternity &Child Health Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)
出处
《解放军护理杂志》
CSCD
北大核心
2019年第7期79-82,共4页
Nursing Journal of Chinese People's Liberation Army
基金
上海申康医院发展中心临床管理优化项目(SHDC2016608)
上海市科学技术委员会科研计划项目(17411950503)
关键词
助产士
孕期管理
剖宫产后阴道分娩
试分娩
midwives
antenatal care
vaginal birth after cesarean
trial of labor
