COOK球囊配合缩宫素引产临床护理路径的研究

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Abstract Objective To explore the effect of clinical nursing pathway (CNP) in induction of labor using COOK balloon combined with Oxytocin.Methods A total of 49 parturients who underwent COOK balloon and Oxytocin in Jiangxi Maternity and Child Health Hospital from July to December 2017 were selected as the control group (n=49),and 49 parturients who underwent COOK balloon and Oxytocin induction in Jiangxi Maternity and Child Health Hospital from July to December 2019 were selected as the observation group.In the control group,routine care was used,and in the observation group,CNP intervention was adopted.The labor induction effect,delivery status,time of each labor stage,postpartum hemorrhage,satisfaction score,and the occurrence of complications were compared in the two groups.Results The total effectiveness rate of labor induction and vaginal delivery rate in the observation group were 97.96% and 93.88%,higher than those in the control group accounting for 81.63% and 69.39%,and the differences were statistically significant (P＜0.05).The first,second,third,and total stage of labor were (8.57±0.76),(1.06±0.12),(0.12±0.01) and(9.74±2.52) h in the observation group were shorter than those of the control group of (11.50±1.84),(1.53±0.24),(0.18±0.02),and (12.67±2.54) h,postpartum hemorrhage was (291.18±20.54) mL,less than that of the control group of(300.15±20.52)mL,satisfaction score was(93.26±5.13)points,higher than that of the control group of(82.97±5.24) points,and the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group was 4.08%,lower than that in the control group accounting for 18.37%,and the difference was statistically significant(P＜0.05).Conclusion CNP intervention can improve the effect of COOK balloon combined with Oxytocin on labor induction and the rate of natural delivery,shorten the time of each labor stage,reduce postpartum hemorrhage and the incidence of complications,and increase maternal satisfaction.

Key words： Labor induction Clinical nursing path COOK balloon Oxytocin Delivery mode Labor stage Bleeding volume Complication

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WU Rong-hua. Study on clinical nursing pathway of COOK balloon combined with Oxytocin for labor induction[J]. 中国当代医药, 2021, 28(6): 204-207.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I6/204

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