护理学报 ›› 2019, Vol. 26 ›› Issue (4): 27-30.doi: 10.16460/j.issn1008-9969.2019.04.027
剖宫产后阴道试产产程观察与护理进展
张士琼, 刘书莲, 朱红艳
- 荆州市妇幼保健院 产科,湖北 荆州 434020
摘要： 目的 对剖宫产后阴道试产安全性评估、产程观察和护理进行综述,旨在为提高剖宫产后阴道试产的成功率提供一定的参考和依据。方法 通过查阅国内外相关文献,依据文献结果对剖宫产后再次妊娠阴道试产的产程观察和护理措施进行总结。结果 再次生育的孕产妇32.7%~50.0%为疤痕子宫,阴道试产成功率为60%~80%,剖宫产后阴道试产需根据孕产妇条件进行个性化评估,并结合超声测量子宫下段肌层厚度和子宫切口肌层的连续性,建立独立的评估表评估其分娩方式的安全性,并加强第一、第二、第三产程的监护和观察,在出现紧急情况下多学科能协助快速进行剖宫产,安全有效处理子宫破裂等并发症。结论 剖宫产后再次妊娠的孕产妇进行阴道试产是降低剖宫产率策略之一,加强对此类孕产妇安全有效的产程观察和护理,可提高阴道试产的成功率,降低再次剖宫产率。
中图分类号:
- R473.71
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