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目的:探讨剖宫产后阴道试产的围生期护理措施。方法:总结2010年10月—2014年11月我院56例剖宫产后阴道试产的产妇为观察组,49例初产妇为对照组,从产程、产时出血、产后出血、新生儿Apgar评分、住院时间、并发症方面分析,总结产程中的观察内容及护理经验。结果:56例剖宫产后阴道试产孕妇,49例阴道试产成功,剖宫产后阴道试产成功率为87.5%(49/56);改行急诊剖宫产7例,占12.5%(7/56)。结论:严格掌握阴道分娩的指征,对产妇围生期做好准确的评估,为产妇提供全方位的护理和严密细致的产程观察,是提高剖宫产后阴道分娩的成功率,是保证母婴安全分娩的重要环节。
Objective: To explore the perinatal nursing measures of vaginal trial after cesarean section. Methods: From October 2010 to November 2014, 56 cases of postpartum vaginal delivery in our hospital were selected as the observation group and 49 cases of primipara as the control group. From birth, delivery and postpartum hemorrhage, neonatal Apgar Score, length of stay, complication analysis, summarize the contents of the observation of labor and nursing experience. Results: 56 cases of vaginal delivery after cesarean section pregnant women, 49 cases of vaginal trial success, vaginal trial after cesarean section success rate was 87.5% (49/56); cesarean section emergency treatment in 7 cases, accounting for 12.5% ( 7/56). Conclusion: Strict control of the indications of vaginal delivery, accurate assessment of the perinatal period, to provide a full range of nursing mothers and careful observation of the production process is to improve the success rate of vaginal delivery after cesarean section, is to ensure the mother Important part of safe delivery for infants.