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| The effect of bionic aerocyst midwifery for treating women with scar uterus during vagina delivery and its influence on their immunological stress |
| Rugao People's Hospital, Rugao, Jiangsu Province, 226500 |
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Abstract To explore the effect of bionic aerocyst midwifery for treating women with scar uterus during vagina delivery, and to study its influence on their immunological stress. Methods: 360 pregnant women with scar uterus were selected as the research objects. They were divided into two groups (180 cases in each group) by random number table method from July 2016 to July 2019. The women in group A had accepted routine vaginal delivery, and the women in group B accepted bionic aerocyst midwifery vaginal delivery. The women in both groups who failed in vaginal delivery had transfer to cesarean section. The delivery situation and the levels of T-lymphocyte (CD4+, CD8+, CD4+/CD8+) before and after delivery, and the levels of noradrenaline (NE) and cortisol (COR) of women were compared between the two groups. Results: The total time of stages of labor, bleeding amounts during delivery, and 2h postpartum hemorrhage of women in group B were 7.45±3.15h, 108.65±32.14ml, and 186.14±52.75ml, respectively, which were significant less than those (9.68±2.97h, 140.56±38.54ml and 248.15±62.24ml, respectively) of women in group A, but the rate of vaginal natural delivery (93.3%) of women in group B was significant higher than that (81.1%) of women in group A (all P＜0.05). There were no significant different in the incidences of fetal distress, asphyxia, maternal uterine rupture, postpartum hemorrhage, puerperal infection, and neonatal status (weight and Apgar score) between the two groups. The hospitalization time and cost of women in group B was significant less than that of women in group A (P＜0.05). The levels of CD4+ and CD4+/CD8+ of women in the two groups at 12h and 48h postpartum had decreased significantly, but CD8+ level had increased significantly, the change of T lymphocyte level of women in group A was significant more than that of women in group B (P＜0.05). Conclusion: Bionic aerocyst midwifery used for women with scar uterus can improve the success rate of vaginal delivery and decrease their immunosuppression.
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