米索前列醇后穹窿给药用于足月妊娠引产的观察及护理

目的:观察并分析足月妊娠产妇采取米索前列醇后穹窿给药的引产效果,并提出相应的护理对策。方法:选取我院收治的94例足月妊娠孕妇为研究对象,入选时间为2017年05月至2019年04月。按照入院的先后顺序将孕妇分成两组,应用米索前列醇后穹窿给药进行引产的为观察组,采用缩宫素引产的为对照组,对比并评价两组的引产效果及分娩结局。此外,总结观察组孕妇的护理方法及效果。结果:①引产效果及分娩方式方面,观察组产妇的引产有效率以及阴道分娩率均显著高于对照组,数据差异明显,P<0.05。②产程及产后出血量方面,观察组产妇用药至临产时间、用药至分娩时间、总产程,以及产后出血量,均显著低于对照组,数据差异有统计学意义(P<0.05)。③新生儿情况方面,两组新生儿的Apgar评分及出生体重差异不大,无统计学意义(P>0.05)。结论:通过对足月妊娠产妇应用米索前列醇后穹窿给药,可获得理想的引产效果,提高产妇的自然分娩率,在缩短产生的同时,有效减少产后出血。在用药引产的同时给予产妇针对性的护理,可有效改善妊娠结局,值得重视。

Observation and Nursing of Postpartum Pregnancy Induced Labor by Misoprostol

Objective: To observe and analyze the induction effect of postpartum administration of misoprostol in pregnant women with full-term pregnancy, and to propose corresponding nursing strategies. Methods: 94 pregnant women with full-term pregnancy admitted to our hospital were selected as subjects. The enrollment time was 2017.5 to 2019.4. The pregnant women were divided into two groups according to the order of admission. The observation group was induced by administration of misoprostol and the induction of labor was induced by oxytocin. The induction effect and delivery outcome of the two groups were compared and evaluated. In addition, the nursing methods and effects of pregnant women in the observation group were summarized. Results: ①In terms of induction effect and mode of delivery, the induction rate of labor and the rate of vaginal delivery were significantly higher in the observation group than in the control group. The data were significantly different(P<0.05). ②In terms of labor and postpartum hemorrhage, the observation group’s maternal medication to delivery time, medication to delivery time, total labor, and postpartum hemorrhage were significantly lower than the control group, the difference was statistically significant(P<0.05). ③In terms of neonatal conditions, there was no significant difference in Apgar score and birth weight between the two groups(P>0.05). Conclusion: The application of misoprostol to postpartum sputum administration in full-term pregnancy can achieve the desired effect of induction of labor, improve the natural delivery rate of the mother, and effectively reduce postpartum hemorrhage while shortening the production. Giving targeted care to the mother while inducing labor can effectively improve the pregnancy outcome and is worthy of attention.