RESUMO
OBJECTIVE: To investigate the effect of midwife intervention coupled with acupressure on the vaginal delivery rate and negative emotion in parturients with scarred uterus re-pregnancy. METHODS: A total of 85 parturients with scarred uterus re-pregnancy who agreed to trial-produce vaginally after assessment were analyzed retrospectively. Parturients were divided into the research group (43 parturients) who received midwife intervention coupled with acupressure and the control group (42 parturients) who received routine nursing intervention. The delivery mode, birth process time, postpartum hemorrhage, maternal and infant outcomes, negative emotion improvement, intrapartum pain score and family care satisfaction of parturients between the two groups were compared. RESULTS: Parturients in the research group had higher spontaneous vaginal delivery rate (67.44% vs. 45.24%, P<0.05), lower rates of lateral episiotomy, puerperal infection and neonatal asphyxia (all P<0.05), compared with the control group. No difference in vaginal midwifery rate was found (P>0.05). Shorter first stage of labor and second stage of labor (both P<0.001) and less postpartum 2 h and 24 h hemorrhage were found in the research group than in the control group (both P<0.05). After intervention, parturients in the research group versus those in the control group showed lower visual analogue scale scores in the incubation period and active period and negative emotion (Hamilton anxiety (HAMA) scale, and Hamilton depression (HAMD) scale) scores (all P<0.05) and greater nursing satisfaction (P<0.05). CONCLUSION: Midwife intervention coupled with acupressure can alleviate the degree of anxiety and depression in parturients with scarred uterus re-pregnancy, accelerate the progress of labor, relieve pain, increase spontaneous vaginal delivery rate, and improve maternal and infant outcomes.
