Objective To analyze the main risk factors for the formation of vaginal wall hematoma in parturient women during vaginal delivery and explore the nursing countermeasures.Methods From January 2013 to September 2022,a total of 260 women who had vaginal hematomas in Xiamen Maternal and Child Health Care Hospital during vaginal delivery were included in the observation group,and 260 cases without vaginal hematomas were collected as the control group according to the ratio of 1:1.The differences in various data between the two groups were compared.The related risk factors of birth canal hematoma were analyzed.The main risk factors of birth canal hematoma were analyzed by logistic regression.Results From January 2013 to September 2022,a total of 81 545 cases of vaginal delivery were recorded,among which there were 260 cases of vaginal wall hematoma.The average incidence rate of vaginal wall hematoma in women who underwent vaginal delivery was 0.318％(260/81 545).There were no significant statistical differences in age,height,weight,first stage of labor,second stage of labor,anemia,hepatitis B surface antigen carriage,pregnancy-related liver injury,and body mass index(BMI)between the two groups(P>0.05).However,there were statistically significant differences in parity,emergency delivery,macrosomia,vaginal assisted delivery,perineal laceration,and pregnancy-induced hypertension between the two groups(P<0.05).Multifactorial logistic regression analysis indicated that emergency delivery,macrosomia,vaginal assisted delivery,and pregnancy-induced hypertension were the main risk factors for the formation of vaginal wall hematomas(P<0.05).Conclusion Women with emergency delivery,macrosomia,vaginal assisted delivery,and pregnancy-induced hypertension have a higher risk of vaginal wall hematoma during vaginal delivery.Evaluation and nursing before delivery can reduce the incidence of vaginal hematomas and improve the prognosis.
关键词
阴道分娩/阴道壁血肿/危险因素/logistic回归分析/急产/巨大儿/阴道助产
Key words
vaginal delivery/hematoma of vaginal wall/risk factors/logistic regression analysis/emergency delivery/macrosomia/vaginal midwifery
维普
万方数据