Effect of midwifery care intervention on advanced maternal delivery mode and course of labor
助产护理干预对高龄产妇分娩方式及产程的影响

摘要

目的 分析助产护理干预用于高龄产妇的价值。方法 对2021年7月-2022年6月本科接诊高龄产妇（n=98）进行随机分组，试验和对照组各49人，前者采取助产护理干预，后者行常规护理。对比产程时间等指标。结果 关于第一、第二、第三和总产出时间，试验组比对照组短（P＜0.05）。关于剖宫产率和阴道助产率，试验组的数据分别是12.24%、4.08%，和对照组28.57%、16.33%相比更低（P＜0.05）。关于自然分娩率，试验组的数据83.67%，和对照组55.1%相比更高（P＜0.05）。关于产后2h出血量，试验组的数据（209.58±26.54）ml，和对照组（243.67±29.58）min相比更少（P＜0.05）。结论 高龄产妇用助产护理干预，产程时间更短，剖宫产率更低，产后出血量也更少。

Abstract

Objective: To analyze the value of midwifery nursing intervention for advanced maternal age.
Methods: For ized women (n=98) from July 2021 to June 2022,49 people each in the control group, the former took midwifery nursing intervention and the latter did routine care.Compare the labor process time and other indicators.
Results: Regarding the first, second, third, and total output time, the test group was shorter than the control group (P <0.05).For cesarean section and vaginal midwifery, the test group were 12.24% and 4.08%, respectively, which were lower than 28.57% and 16.33% in the control group (P <0.05).Regarding the delivery rate of nature, the data for the trial group were 83.67%, which was higher than 55.1% in the control group (P <0.05).For 2h postpartum bleeding, the test group data (209.58 ± 26.54) ml, and the control group (243.57 ± 29.68) min (P <0.05).
Conclusion  : Elderly women have shorter labor duration, lower cesarean delivery rate, and less postpartum bleeding after intervention.