CAJ | 학술논문

目的:探讨疤痕子宫产妇阴道分娩时母子的安全.方法:对具备阴道分娩试产指征的87例疤痕子宫孕妇做好心理疏导和产时观察,配备完善的产时接生医疗、医药器械等准备,建立助产士全程陪同观察制度,记录产妇产时体能和精神状况、产时产后出血量、新生儿娩出24小时健康情况等.结果:87例阴道分娩的疤痕子宫产妇,阴道分娩成功,无一例改为剖宫产术,无子宫破裂,无新生儿窒息及其他合并症.结论:疤痕子宫阴道分娩只要掌握适应症,严密观察产时母子状况,做好产时全程护理就可提高阴道分娩的成功率.
목적:탐토파흔자궁산부음도분면시모자적안전.방법:대구비음도분면시산지정적87례파흔자궁잉부주호심리소도화산시관찰,배비완선적산시접생의료、의약기계등준비,건립조산사전정배동관찰제도,기록산부산시체능화정신상황、산시산후출혈량、신생인면출24소시건강정황등.결과:87례음도분면적파흔자궁산부,음도분면성공,무일례개위부궁산술,무자궁파렬,무신생인질식급기타합병증.결론:파흔자궁음도분면지요장악괄응증,엄밀관찰산시모자상황,주호산시전정호리취가제고음도분면적성공솔.
Objective: To explore the maternal and fetal safety in vaginal delivery with a scarred uterus. Method: To give mental supporting and partum monitoring for 87 puerpera with a previous cesarean section who have no contraindications for vaginal labour. We are equipped with sufficient medical instruments and medication, have established midwife ful-round company system, recording the partum maternal mental wel-being, partum and post-partum blood loss, and the neonatal wel-being within 24 hours after birth. Result: 87 puerpera with a previous cesarean section underwent vaginal delivery successively. There’s no one case who swifted to cesarean section, no uterine rupture, no neonatal asphyxia and other complications. Conclusion: We can improve the success rate of vaginal delivery after previous cesarean delivery if we make correct evaluations, intensive monitoring of partum maternal and fetal conditions, and considerate ful-round nursing and company for the puerpera.