Objective To study the effect of doula nursing intervention on improving pregnancy outcomes and reducing postpartum anxiety and depression in twins.Methods A total of 60 pregnant women for delivery in our hospital were divided into two groups according to the random number table method,with 30 cases in each group.The control group was given routine care,and the observation group was given doula nursing intervention on the basis of routine care.The anxiety,depression scores before and after nursing and the outcomes of maternal pregnancy were observed and compared.Results There was no significant differences in SAS scores and SDS scores between the two groups before treatment (P ＞ 0.05);After treatment,the observation group was significantly lower than that of the control group (P ＜ 0.05);The incidences of fetal distress,neonatal asphyxia were significantly lower,and the natural delivery rate was higher than that in the control group (P ＜0.05);There was no significant difference in the incidence of postpartum hemorrhage between the two groups (P ＞ 0.05).Conclusion The doula nursing intervention can effectively promote the twin vaginal delivery,improve the outcomes of pregnancy,reduce maternal anxiety,depression,significantly improve natural delivery rate,and promote maternal postpartum recovery,so it is worthy of promotion.

Objective To study the effect of vaginal delivery on maternal and child outcomes in re-pregnancy patients with scarred uterus after cesarean section.Methods A total of 50 repregnant women after cesarean section in our hospital were as study group,another 50 pregnant women without cesarean section in the same period were selected as control group.The patients in the control group applied vaginal delivery,and the re-pregnant patients after cesarean section in the study group applied vaginal delivery.The incidence of hospital stay,body mass of infants,bleeding volume,puerperium infection rate and infant Apger score,incidences of intracranial hemorrhage,pneumonia and asphyxia were observed and compared.Results There was no significant difference in the hospital stay,neonatal body mass,blood loss,puerperium infection rate,1 min and 5 min Apgar scores between the study group and the control group after delivery (P ＞ 0.05).Meanwhile,there were no significant differences in the incidence of intracranial hemorrhage,pneumonia and asphyxia between the two groups (P ＞ 0.05).Conclusion Vaginal delivery for re-pregnant women after cesarean section had no impact on hospitalization time,infants'body mass,bleed loss volume,puerperal infection rate.So vaginal delivery should be given to re-pregnant women in accordance with vaginal delivery to ensure health of newborns,improve safety of childbirth,so it is worthy of clinical promotion.

Objective To study the effect of doula nursing intervention on improving pregnancy outcomes and reducing postpartum anxiety and depression in twins.Methods A total of 60 pregnant women for delivery in our hospital were divided into two groups according to the random number table method,with 30 cases in each group.The control group was given routine care,and the observation group was given doula nursing intervention on the basis of routine care.The anxiety,depression scores before and after nursing and the outcomes of maternal pregnancy were observed and compared.Results There was no significant differences in SAS scores and SDS scores between the two groups before treatment (P ＞ 0.05);After treatment,the observation group was significantly lower than that of the control group (P ＜ 0.05);The incidences of fetal distress,neonatal asphyxia were significantly lower,and the natural delivery rate was higher than that in the control group (P ＜0.05);There was no significant difference in the incidence of postpartum hemorrhage between the two groups (P ＞ 0.05).Conclusion The doula nursing intervention can effectively promote the twin vaginal delivery,improve the outcomes of pregnancy,reduce maternal anxiety,depression,significantly improve natural delivery rate,and promote maternal postpartum recovery,so it is worthy of promotion.

Objective To study the effect of vaginal delivery on maternal and child outcomes in re-pregnancy patients with scarred uterus after cesarean section.Methods A total of 50 repregnant women after cesarean section in our hospital were as study group,another 50 pregnant women without cesarean section in the same period were selected as control group.The patients in the control group applied vaginal delivery,and the re-pregnant patients after cesarean section in the study group applied vaginal delivery.The incidence of hospital stay,body mass of infants,bleeding volume,puerperium infection rate and infant Apger score,incidences of intracranial hemorrhage,pneumonia and asphyxia were observed and compared.Results There was no significant difference in the hospital stay,neonatal body mass,blood loss,puerperium infection rate,1 min and 5 min Apgar scores between the study group and the control group after delivery (P ＞ 0.05).Meanwhile,there were no significant differences in the incidence of intracranial hemorrhage,pneumonia and asphyxia between the two groups (P ＞ 0.05).Conclusion Vaginal delivery for re-pregnant women after cesarean section had no impact on hospitalization time,infants'body mass,bleed loss volume,puerperal infection rate.So vaginal delivery should be given to re-pregnant women in accordance with vaginal delivery to ensure health of newborns,improve safety of childbirth,so it is worthy of clinical promotion.