Prevention and nursing effect of midwives in delivery room on patients with postpartum hemorrhage
产房助产士对产后出血患者的预防和护理效果

摘要

目的 探讨产房助产士对产后出血患者的预防和护理效果。方法 采用抽样调查法，抽样时间为2020年1月至2022年1月，抽样对象为我院近两年收治的产妇，抽样数量为80，抽样完毕后将其中一半的患者采用常规护理干预，设置为对照组，另一半患者采用产房助产士护理，设置为实验组。收集两组产妇产后2小时出血量、自然分娩率、疼痛程度、新生儿窒息率以及产妇护理满意度。结果 经过护理可知，实验组产妇产后2小时出血量显著低于对照组（P＜0.05）；并且实验组自然分娩率比对照组更高（P＜0.05）；同时，实验组的产妇VAS评分更低（P＜0.05）；实验组产妇的新生儿窒息率低于对照组（P＜0.05）；此外，实验组产妇对护理工作的满意程度明显高于对照组（P＜0.05）。结论 和常规产房护理相比，经产房助产士护理后，产妇的自然分娩率更高，产后出血量更低，同时产妇对护理工作的满意率更高，能够改善母婴结局，减少新生儿窒息率。

Abstract

Objective To explore the prevention and nursing effect of midwives in delivery room on patients with postpartum hemorrhage.
Methods The sampling survey method was adopted. The sampling time was from January 2020 to January 2022. The sampling object was the pregnant women treated in our hospital in recent two years. The sampling number was 80. After the sampling, half of the patients were treated with routine nursing intervention as the control group, and the other half were treated with midwife in the delivery room as the experimental group. The amount of postpartum hemorrhage, natural delivery rate, degree of pain, neonatal asphyxia rate and maternal nursing satisfaction were collected.
Results After nursing, the amount of postpartum hemorrhage in the experimental group was significantly lower than that in the control group (P<0.05); The natural delivery rate in the experimental group was higher than that in the control group (P<0.05); At the same time, the VAS score of pregnant women in the experimental group was lower (P<0.05); The rate of neonatal asphyxia in the experimental group was lower than that in the control group (P<0.05); In addition, the satisfaction of pregnant women in the experimental group was significantly higher than that in the control group (P<0.05).
Conclusion   Compared with routine delivery room nursing, after midwife nursing in the delivery room, the natural delivery rate of puerperae is higher, the amount of postpartum hemorrhage is lower, and the mother's satisfaction rate with nursing work is higher, which can improve maternal and infant outcomes and reduce neonatal asphyxia rate.