Abstract:Objective To investigate the effect of pregnancy exercise combined with nutritional intervention on improving the natural labour rate of the second pregnant of scar uterus.Methods A total of 110 cases of the second pregnant women with scar uterus who were admitted to department of obstetrics and gynecology of three general hospitals in Huizhou city from August 2017 to August 2018 were selected as the study subjects.According to the random number table method,they were divided into the study group(n=55)and the control group(n=55).The control group was given routine maternity examination,psychological and lifestyle guidance,while the study group was given pregnancy exercise and nutritional intervention.The weight gain of pregnant women,mode of delivery,duration of labor,neonatal Apgar score,neonatal birth weight and pregnancy complications observed and compared between the two groups.Results The average weight gain of pregnant women in the study group was lower than that in the control group,and the coincidence rate of weight gain in the study group was significantly higher than that in the control group (P<0.05).The natural labour rate of the second pregnant women in the study group was 94.55%,which was significantly higher than 52.73%in the control group(P<0.05).The first stage of labor and the second stage of labor time in the study group were shorter than those in the control group (P<0.05).There was no significant difference between the two groups in the third stage of labor time (P>0.05).The Apgar score of newborns in the study group was higher than that in the control group (P<0.05),while the birth weight of newborns in the study group was lower than that in the control group(P<0.05).The total incidence of pregnancy complications in the study group was lower than that in the control group(P<0.05).Conclusion Pregnancy exercise combined with nutritional intervention can improve the natural labour rate of the second pregnant women with scar uterus,shorten the labor process,reduce the incidence of pregnancy complications during pregnancy.
刘竺君. 孕期运动配合营养干预提高瘢痕子宫再次妊娠顺产率的效果[J]. 中国当代医药, 2019, 26(8): 90-92.
LIU Zhu-jun. Effects of pregnancy exercise combined with nutritional intervention on improving the natural labour rate of the second pregnant of scar uterus. 中国当代医药, 2019, 26(8): 90-92.
Knight HE,Gurol-Urganci I,Jh VDM,et al.Vaginal birth after caesarean section:a cohort study investigating factors associated with its uptake and success[J].Bjog An Int J Obstetr Gynaecol,2014,121(2):183-192.