Nursing effect of high risk pregnancy management combined with outpatient midwifery for pregnant women with scarred uterus and its influence on delivery outcome
瘢痕子宫孕妇高危妊娠管理结合门诊助产的护理效果及对分娩结局的影响

摘要

目的 分析高危妊娠管理结合门诊助产的临床应用对瘢痕子宫孕妇分娩结局以及护理质量的影响。方法 本文以2023年1月-2024年12月为研究时间，并以此期间我院接诊的瘢痕子宫孕妇100例作为研究对象，并以其自愿进行分组，将接受常规高危妊娠管理者均纳入参照组（50例），接受高危妊娠管理结合门诊助产护理者均纳入研究组（50例），针对性统计两组孕妇分娩方式、临床依从性、负性情绪评分、产后并发症，简列两组数据后对比组间差异，以此对比护理效果。结果 经数据统计，两组孕妇阴道分娩率研究组较高、参照组偏低；两组孕妇临床总依从率，研究组较高、参照组偏低；两组孕妇负性情绪评分，护理后见研究组较低、参照组较高；孕妇产后并发症发生率统计，研究组较低、参照组较高；数据组间对比存在明显差异，且研究组更具优势性（P＜0.05）。结论 经分析，高危妊娠管理结合门诊助产应用于瘢痕子宫孕妇的临床效果显示，可明显改善分娩结局，增强临床依从性，同时有效缓解孕妇的负性情绪，确保其积极配合医护工作，进一步降低术后并发症，临床效果临床，存在广泛应用价值。

Abstract

Objective To analyze the clinical application of high-risk pregnancy management combined with outpatient midwifery on delivery outcomes and nursing quality of pregnant women with scarred uterus.
Methods A total of 100 pregnant women with cicatricial uterus treated in our hospital from January 2023 to December 2024 were selected as research objects during this period, and they were voluntarily divided into groups. All those who received routine high-risk pregnancy management were included in the reference group (50 cases), and all those who received high-risk pregnancy management combined with outpatient midwives were included in the study group (50 cases). The methods of delivery, clinical compliance, negative emotion score and postpartum complications of pregnant women in the two groups were targeted and counted. After the data of the two groups were briefly listed, the differences between the groups were compared, so as to compare the nursing effect.
Results The rate of vaginal delivery was higher in the study group and lower in the reference group. The total clinical compliance rate of the two groups was higher in the study group and lower in the reference group. The negative emotion score of the two groups was lower in the study group and higher in the reference group after nursing. The incidence of postpartum complications was lower in the study group and higher in the reference group. There was significant difference in comparison between data groups, and the study group was more dominant (P < 0.05).
Conclusion   After analysis, the clinical effect of high-risk pregnancy management combined with outpatient midwifery in pregnant women with cicatricial uterus shows that it can significantly improve the delivery outcome, enhance clinical compliance, effectively alleviate the negative emotions of pregnant women, ensure their active cooperation with medical care, and further reduce postoperative complications. The clinical effect is clinical, and has wide application value.