11例孕产妇疤痕子宫破裂发生情况及护理

目的了解疤痕子宫破裂发生的情况,探讨疤痕子宫破裂的护理经验。方法了解11例孕产妇发生疤痕子宫破裂的情况,对子宫破裂的孕产妇进行护理。结果 11例疤痕子宫破裂孕产妇经抢救和护理均恢复良好,住院时间3~5d;产妇均顺利分娩,婴儿平安。发生疤痕子宫破裂主要有:手术史、居住地、文化程度等因素。结论加强围生期保健和孕期宣教工作及产前检查,密切观察产程,对保证孕产妇围生期保健和高危孕妇的监护,避免子宫破裂的发生,降低孕产妇的死亡率具有重要意义。

Causes of intrapartum rupture of the scarred uterus and the nursing strategies

Objective To explore the causes of intrapartum rupture of the scarred uterus and sum up the nursing experience. Methods The clinical data of 11 parturients with intrapartum rupture of scarred uterus were retrospectively analyzed to find out the causes of rupture and the nursing strategies were summarized.Result All of them resovered after rescuing and nursing,who were hospitalized for 3-5d and got labored without accidents.The causes included their histories of uterine-incision delivery,living places, education level and individual constitution.Conclusion The nursing measures including intrapartum health care and education, antenatal examination,close observation through the labor process,enhanced techniques and monitoring of high-risk gravida to avoid rupture of uterus,are vital for the decrease of parturient mortality.