Objective To explore the influence of bionic air-bag midwifery on delivery process and consequence of vaginal delivery in elderly parturient women with second pregnancy combined with cicatricial uterus.Methods We selected 80 cases of elderly parturient women with second pregnancy combined with cicatricial uterusas the research objects in our hospital from May 2014 to May 2017.These women who had vaginal trial and did not conform caesarean indication were randomly divided into control group and experimental group, with 40 cases in each group.Experimental group were sent into delivery roomwhen the cervix opened to 3 cm and fetal presentation descended below-1.The control group chose routine vaginal delivery.We recorded the duration of production, bleeding, neonatal condition and outcome of childbirth.Results Theaverage time of first, second, and total delivery process in experimental group was (6.35±1.66)h, (0.76±0.13)h and (6.51±2.20)h, respectively, which was obviouslyshorter than that in control group, which was(11.27±2.14)h, (1.35±0.21)h and (10.37±2.61)h, respectively, with significant difference(t=-11.490,15.108,7.152, P<0.001).The blood loss in birth time and postpartum two hours of experimental group was (111.97±23.84)mL and (234.13±59.03)mL, respectively, which were less than that of control group, which was (123.24±26.30)mL and (264.65±57.26)mL, respectively, with significant difference(t=-2.008,2.347, P<0.05).The Apgar score and asphyxia of two groups had no significantdifference (t=0.359, P=0.721; χ2=0.513, P=0.474).Cases of fetal distress in control group were more than those in experimental group,with significant difference(χ2=4.804, P=0.028).Cases of forceps delivery in two groups had no significant difference(χ2=1.385, P=0.239). Cases of vaginal delivery and caesarean had significant difference(χ2=8.067,4.781, P=0.005,0.029).Conclusion Bionic air-bag midwifery has obvious superiority in vaginal delivery of elderly parturient women with second pregnancy combined with cicatricial uterus.It can effectively shorten delivery process and reduce uterine bleeding and fetal distress, and improve the success rate of vaginal delivery and the consequence of childbirth. |