Premature rupture of membranes (PROM) mainly refers to the labor before the rupture of membranes and its incidence with the delivery of approaching and growth is a more common obstetric complications [1].
This study selected the premature rupture of membranes in our hospital to give individual nursing intervention, and achieved remarkable results. The results are summarized as follows.
1, data and methods
1.1, general information
Methods 90 cases of premature rupture of membranes in our hospital were randomly divided into the control group and the observation group with 45 cases in each group. All women age 20 ~ 42 years old, the average age for (27.1 + 3.2) years. The 22 patients by maternal, 68 cases of primipara; gestational age of 34 weeks 38 cases and 36 weeks in 52 cases. The two groups of maternal age, gestational age, and other general information, the difference was not statistically significant (P > 0.05), with comparability.
1.2, nursing methods
Control group mothers received conventional nursing, pay attention to the time for detection of maternal and fetal physiological indexes; in the observation group were given nursing intervention group on the basis of control: medical staff should be in a timely manner to the maternal to explain the cause of premature rupture of membranes (PROM) causes and treatment methods, make the puerpera further understanding of premature rupture of membranes (PROM) phenomenon. At the same time can ease the fear of maternal heart, tension and other negative emotions. In addition, health care workers should be strengthened to communicate with the maternal, so as to timely answer maternal heart questions, so that the maternal to establish a positive and optimistic attitude. Not only that, health care workers need to ensure that the proper position of the maternal body, to prevent fetal hypoxia.
1.3, statistical methods
The SPPS18.0 statistical software for data analysis, measurement data by using (x + s) said, inter group compared with t test, count data using chi square test, P < 0.05 indicated a statistically significant difference.
2, the results
Two, 2.1 groups of maternal and neonatal perinatal period case index contrast
Observation group maternal gestational weeks, neonatal weight and neonatal Apgar score was significantly higher than the control group, the difference was significant (P < 0.01); observation group postpartum hemorrhage was significantly less than the control group, the difference was significant (P < 0.01). See table 1.
Table 1 Comparison between two groups of maternal and neonatal perinatal period
Two, 2.2 groups of maternal infection rate and neonatal mortality rate.
The maternal infection rate and neonatal mortality rate in the observation group were significantly lower than those in the control group, the difference was significant (P < 0.01). See table 2.
Table 2 Comparison of two groups of maternal infection rate and neonatal mortality rate [n (%)]
3, discussion
Premature rupture of membranes can lead to premature birth, mother and child infection and umbilical cord prolapse and other complications, the prognosis of mothers and infants have a great impact, serious and even cause death [2-3].
Clinical think caused by premature rupture of membranes (PROM) mainly due to: pathogenic microorganisms in patients with genital tract ascending infection and inflammation of the membranes causing local tension, rupture of membranes; membrane has not been uniform stress, the abnormal fetal position fetal presentation no better convergence and amniotic sac compression is not balanced; late pregnancy sex, twin pregnancy or amniotic fluid too much [3-5].
Because premature rupture of membranes is usually sudden, maternal and their families usually lack a certain understanding, very easy to cause maternal fear, tension and other psychological [6-7]. Research data show that timely nursing intervention can effectively avoid fetal distress or due to maternal stress caused by uterine contraction, but also can improve maternal and newborn health [8].
The study found that the observation group were given individual nursing intervention measures, the average gestational week was (36.1 + 1.5) weeks, the amount of postpartum hemorrhage was (300.2 + 70.7) ml. While the maternal infection rate of the observation group was 2.2%, the neonatal mortality rate was 2.2%, which was significantly better than the control group, the difference was significant (P < 0.05). In Xu Xiaojing [9]
Research results, the control group and the observation group there were no maternal and neonatal deaths, and the differences are considered by clinical may be different circumstances of nursing intervention to different or maternal premature rupture of membranes. Thus it can be seen that the premature rupture of fetal membranes to give individual nursing intervention can effectively improve maternal and neonatal outcomes, and promote maternal and neonatal health [10].
To sum up, to the fetal membrane early broken mothers give strengthening nursing intervention has a higher clinical application value, can effectively reduce the cesarean section bleeding, reduce maternal infection rate and neonatal mortality, improve maternal and neonatal outcomes, is worth the clinical promotion.
reference
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