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目的:探讨导乐无痛分娩在瘢痕子宫妊娠经阴道分娩中的临床护理。方法:选取2015年11月—2016年3月在我院住院分娩且有一次剖宫产史的69例孕妇为观察对象,对其实施导乐陪伴联合无痛分娩,并通过全面评估阴道试产的可能性、心理护理、硬膜外麻醉置管护理、产程管理及病情监测,总结护理体会。结果:本组69瘢痕子宫产妇中66例经阴道分娩,分娩成功率为95.6%,其中54例自然阴道分娩(78.2%),12例阴道助产(17.3%);3例由于产程异常和胎儿窘迫行剖宫产术(4.3%);无一例子宫破裂发生。结论:瘢痕子宫妊娠经阴道分娩虽具有一定的风险,但在产前通过全面、细致的评估,并通过导乐无痛分娩,最大程度的减轻了产痛和体能的消耗,增加了自然分娩的信心,缩短了产程,为产妇提供了良好的阴道分娩条件,值得临产推广。
Objective: To investigate the clinical nursing of painless labor delivery in transvaginal delivery of scar pregnancy. Methods: From November 2015 to March 2016, 69 pregnant women who were hospitalized for delivery and had a history of cesarean section in our hospital were selected as the observation subjects. The patients were accompanied by pueraria and painless delivery. Through a comprehensive evaluation of vaginal trial production The possibility of psychological care, epidural anesthesia catheter care, labor management and disease monitoring, summed up nursing experience. Results: 66 cases of uterus in the group of 66 cases of vaginal delivery, delivery rate was 95.6%, of which 54 cases of spontaneous vaginal delivery (78.2%), 12 cases of vaginal delivery (17.3%); 3 cases of labor due to abnormalities and fetus Distress cesarean section (4.3%); no case of uterine rupture occurred. CONCLUSIONS: Transvaginal delivery of scarring uterine pregnancy has a certain risk. However, comprehensive and meticulous evaluation in prenatal pregnancy leads to painless labor and physical exertion to the greatest extent, and increases spontaneous labor Confidence, shorten the labor process for the mothers to provide a good vaginal delivery conditions, it is worth promoting.