足月妊娠羊水过少产妇的临床护理及不同分娩方式对新生儿预后的影响分析

目的:探讨足月妊娠羊水过少孕妇的临床护理方法及不同分娩方式对新生儿预后的影响。方法:羊水过少孕妇110例全部孕妇给予心理护理、羊水功能监测、产程护理、胎儿畸形B超检查等,根据羊水及胎儿情况选择不同的分娩方式。结果:羊水指数5～8cm的76例孕妇中,剖宫产组与阴道分娩组羊水Ⅲ度污染发生率、新生儿窒息发生率比较。差异无统计学意义(P>0.05),胎心监护异常率差异有统计学意义(P<0.05);羊水指数小于5cm的34例产妇中,剖宫产组与阴道分娩组产妇新生儿窒息率、新生儿死亡率比较,差异有统计学意义(P<0.05),剖宫产孕妇中择期剖宫产新生儿窒息率明显低于试产后剖宫产,差异有统计学意义(P<0.05).结论:羊水过少是影响新生儿预后主要因素,临床应根据羊水过少程度及胎儿情况选择剖宫产或阴道分娩,并尽量缩短产程以减少新生儿窒息。

Clinical Nursing of Full-Term Pregnant Women with Oligohydramnios and Influence Analysis of Neonatal Outcomes of Different Delivery Methods

Objective:To investigate Clinical nursing of full-term pregnant women with oligohydramnios and influence analysis of neonatal outcomes of different delivery methods.Methods:To select 110 cases of full-term pregnant women with oligohydramnios,all pregnant women were gaven psychological care,amniotic fluid monitoring,labor nursing,detecting fetal abnormalities with B-ultrasound et al.According to the amniotic fluid and fetal to choose different mode of delivery.Results:In 76 cases of pregnant women with amniotic fluid index(AFI) of 5-8 cm,the incidence of amniotic fluidⅢpolluted,the incidence of neonatal asphyxia between cesarean section group and vaginal delivery group had no significant difference(P>0.05),Abnormal fetal heart rate of two groups was significantly different (P<0.05);In 34 cases of pregnant women with AFI≤5 cm,the difference of neonatal asphyxia,neonatal mortality between two groups was statistically significant(P<0.05),and neonatal asphyxia in cesarean section was less than cesarean section after pilot test,the difference was statistically significant(P<0.05).Conclusion:Oligohydramnios is the main factors affecting neonatal outcomes,we should choose cesarean section or vaginal delivery according to the degree of oligohydramnios and fetal situation to shorten the production process and reduce neonatal asphyxia.