Analysis of the application value of continuous monitoring of fetal heart rate monitor in expectant mothers
Objective To explore the application value of continuous monitoring of fetal heart rate monitor in expectant mothers.Methods 120 cases of expectant mothers were selected as the study subjects,and were divided into the control group and the monitoring group by the 1∶1 randomized numerical table method,with 60 cases in each group.Both groups underwent normal nursing interventions,based on which the control group was given routine prenatal checkups,fetal movement counting at home and scheduled prenatal checkups;the monitoring group was given continuous monitoring by remote electronic fetal heart rate monitors.The monitoring results,duration of labor,fear of childbirth,occurrence of adverse pregnancy outcomes and neonatal Apgar score were compared between the two groups.Results The detection rates of abnormal fetal movement,abnormal fetal heartbeat,and abnormal prenatal non-stress test(NST)in the monitoring group were 33.33%,36.67%,and 33.33%,which were significantly higher than 15.00%,16.67%,and 15.00%in the control group(P<0.05).The duration of first,second and third stages of labor in the monitoring group were(5.11±0.59),(0.95±0.05)and(0.33±0.03)h,which were significantly shorter than(7.23±0.77),(1.92±0.22)and(0.71±0.19)h in the control group(P<0.05).After 4 weeks of intervention,the score of fear of childbirth in both groups was lower than that before intervention,and the score of fear of childbirth of(70.19±4.28)points in the monitoring group was significantly lower than(83.15±5.81)points in the control group(P<0.05).Before delivery,the score of fear of childbirth in both groups was higher than that after 4 weeks of intervention,but the score of fear of childbirth in the monitoring group[(80.22±4.16)points]was significantly lower than that in the control group[(87.88±4.61)points](P<0.05).The incidence of adverse pregnancy outcome in the monitoring group was 8.33%,which was significantly lower than 23.33%in the control group(P<0.05).The Apgar scores at 5 and 10 min after birth in both groups was significantly higher than those at 1 min after birth in this group,and the Apgar score at 10 min after birth was significantly higher than that at 5 min after birth in this group;the Apgar scores were(7.31±0.26),(8.57±0.33)and(9.58±0.35)points at 1,5 and 10 min after birth in the monitoring group,which were significantly higher than(6.47±0.29),(7.63±0.37)and(8.79±0.26)points in the control group(P<0.05).Conclusion The application of continuous monitoring of the fetal heart monitor for expectant women can effectively monitor their indicators,reduce their fear of childbirth,lower the incidence of adverse pregnancy outcomes,and improve the Apgar score of the newborn,which has high application value and is worth popularizing and applying in the clinic.
Fetal heart rate monitorExpectant mothersDelivery outcomeApplication value
万方数据
维普
