助产士主导的体重管理对瘢痕子宫孕妇分娩结局的影响

doi:10.3760/cma.j.cn115682-20220221-00769

科研成果详情

题名	助产士主导的体重管理对瘢痕子宫孕妇分娩结局的影响
其他题名	Effects of midwife-led weight management on delivery outcomes in pregnant women with scarred uterus
作者	夏慧华; 范淑丽; 吴玉环
发表日期	2022-10-26
发表期刊	中华现代护理杂志影响因子和分区
语种	中文
原始文献类型	Periodical
关键词	孕妇瘢痕子宫体重管理助产士分娩结局
其他关键词	Pregnant women ; Scarred uterus ; Weight management ; Nurse midwives ; Delivery outcome
摘要	目的:探讨助产士主导的专科门诊孕中晚期体重管理对瘢痕子宫孕妇分娩结局的影响。方法:采用便利抽样法，选取2020年1月—2021年1月在温州医科大学附属第一医院产检的120例单胎瘢痕子宫孕妇为研究对象，采用随机数字表法分为对照组和观察组，各60例。对照组行常规产前门诊检查与指导，观察组在对照组基础上采用助产士主导的专科门诊孕中晚期体重管理，对比两组孕妇的阴道分娩率、剖宫产率、产后24 h出血量、焦虑水平及新生儿出生体重。结果:观察组孕妇的阴道分娩率高于对照组，剖宫产率、产后24 h出血量、焦虑水平及新生儿出生体重均低于对照组，差异有统计学意义（ P<0.05）。结论:助产士主导的专科门诊体重管理能有效控制瘢痕子宫孕妇孕期体重增长，改善分娩结局，减少产后出血量，减轻孕妇焦虑水平，同时有助于将新生儿出生体重控制在理想范围内，值得临床应用。
其他摘要	Objective:To explore the effect of midwife-led specialist outpatient weight management on the delivery outcomes of pregnant women with scarred uterus.Methods:From January 2020 to January 2021, convenience sampling was used to select 120 pregnant women with singleton scarred uterus in the First Affiliated Hospital of Wenzhou Medical University as the research object. Pregnant women were divided into the control group and the observation group by random number table method, 60 cases in each group. The control group received routine antenatal outpatient examination and guidance, while the observation group received midwife-led specialist outpatient weight management on the basis of the control group. The vaginal delivery rate, cesarean section rate, 24-hour postpartum hemorrhage, anxiety and newborn birth weight were compared between the two groups.Results:The vaginal delivery rate of pregnant women in the observation group was higher than that in the control group, and the cesarean section rate, 24-hour postpartum hemorrhage, anxiety and newborn birth weight were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Midwife-led specialist outpatient weight management can effectively control the weight gain of pregnant women with scarred uterus during pregnancy, improve delivery outcomes, reduce postpartum hemorrhage and maternal anxiety, and help control the birth weight of newborns within the ideal range, which is worthy of clinical application.
资助项目	温州市科技局基金项目(Y20190259)。
ISSN	1674-2907
卷号	28 期号:30 页码:4260-4263
DOI	10.3760/cma.j.cn115682-20220221-00769
页数	4
收录类别	ISTIC ; 维普 ; 万方
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/171342
专题	附属第一医院_护理部
作者单位	温州医科大学附属第一医院护理部产科，温州　325015
第一作者单位	附属第一医院_护理部
第一作者的第一单位	附属第一医院_护理部
推荐引用方式 GB/T 7714	夏慧华,范淑丽,吴玉环. 助产士主导的体重管理对瘢痕子宫孕妇分娩结局的影响[J]. 中华现代护理杂志,2022,28(30):4260-4263.
APA	夏慧华, 范淑丽, & 吴玉环. (2022). 助产士主导的体重管理对瘢痕子宫孕妇分娩结局的影响. 中华现代护理杂志, 28(30), 4260-4263.
MLA	夏慧华,et al."助产士主导的体重管理对瘢痕子宫孕妇分娩结局的影响".中华现代护理杂志 28.30(2022):4260-4263.