川北医学院学报2016，Vol.31Issue(5)：759-761,3.DOI:10.3969/j.issn.1005-3697.2016.05.039
全程连续性助产护理对剖宫产术后阴道分娩产妇产痛程度及产程的影响
Effects of continuity midwifery care on labor pain and duration of labor in vaginal birth after cesarean delivery
摘要
Abstract
Objective:To investigate the effect of continuity midwifery care on labor pain and duration of labor in vaginal birth after cesarean(VBAC)delivery.Methods:A total of 1 12 pregnant women who preferred VBAC were randomly divided into the control group and the observation group,with 56 cases in each group.The control group was given conventional nursing at different phase of ges-tation,and the observation group was applied with continuity midwifery care.The condition of labor pain and anxiety were assessed by visual analog pain scale(VAS)and anxiety visual analog scale(VAS-A).The natural births rate,incidence of fetal distress,postpartum hemorrhage rate,amount of bleeding and duration of labor were observed and compared between two groups.Results:The VAS,VAS-A at 24 h after delivery and amount of bleeding were significant lower in the observation group than those of the control group(P <0.05 or P <0.01 ).There was no significant difference in natural births rate,postpartum hemorrhage rate and incidence of fetal distress between two groups(P >0.05).The duration of first stage of labor,second stage of labor and total stage of labor were significant shorter in the observation group than those of the controls(P <0.05 or P <0.01 ).Conclusion:The continuity of midwifery care is effective in impro-ving negative emotion and reducing the duration of labor and amount of bleeding in puerpera undergoing VBAC delivery.关键词
剖宫产术/阴道分娩/连续性助产护理/产程Key words
Cesarean section/Vaginal delivery/Continuity midwifery care/Stage of labor分类
医药卫生引用本文复制引用
陈志芳,吴宏荷,孙晓琴,吴迎春,刘华华..全程连续性助产护理对剖宫产术后阴道分娩产妇产痛程度及产程的影响[J].川北医学院学报,2016,31(5):759-761,3.基金项目
2014年度南通市市级科技计划（指导性）项目 （）
