Effects of midwife-led weight management on delivery outcomes in pregnant women with scarred uterus
10.3760/cma.j.cn115682-20220221-00769
- VernacularTitle:助产士主导的体重管理对瘢痕子宫孕妇分娩结局的影响
- Author:
Huihua XIA
1
;
Shuli FAN
;
Yuhuan WU
Author Information
1. 温州医科大学附属第一医院护理部产科，温州 325015
- Keywords:
Pregnant women;
Scarred uterus;
Weight management;
Nurse midwives;
Delivery outcome
- From:
Chinese Journal of Modern Nursing
2022;28(30):4260-4263
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of midwife-led specialist outpatient weight management on the delivery outcomes of pregnant women with scarred uterus.Methods:From January 2020 to January 2021, convenience sampling was used to select 120 pregnant women with singleton scarred uterus in the First Affiliated Hospital of Wenzhou Medical University as the research object. Pregnant women were divided into the control group and the observation group by random number table method, 60 cases in each group. The control group received routine antenatal outpatient examination and guidance, while the observation group received midwife-led specialist outpatient weight management on the basis of the control group. The vaginal delivery rate, cesarean section rate, 24-hour postpartum hemorrhage, anxiety and newborn birth weight were compared between the two groups.Results:The vaginal delivery rate of pregnant women in the observation group was higher than that in the control group, and the cesarean section rate, 24-hour postpartum hemorrhage, anxiety and newborn birth weight were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Midwife-led specialist outpatient weight management can effectively control the weight gain of pregnant women with scarred uterus during pregnancy, improve delivery outcomes, reduce postpartum hemorrhage and maternal anxiety, and help control the birth weight of newborns within the ideal range, which is worthy of clinical application.
