Study On The Effects Of Standardized Nursing Intervention On The Outcomes Of Hepatitis B Primiparas’ Childbirth

[Objective]:To explore the effects of standardized nursing intervention on the outcomes of hepatitis b primiparas’ childbirth.[Methods]:Select 180 cases of pregnant women enrolled at the Second Hospital of Nanjing obstetric department from October 2015 to June 2016.All the women are regular prenatal and informed consent. They were randomly divided into control group and experimental group by the Random number table,90 samples in each group. Primiparas in control group only accept the doctor’s prenatal, while primiparas in experimental group both accepted the doctor’s regular prenatal and comprehensive nursing intervention dominated by midwives. Including:to strengthen learning knowledge of Hepatitis b, individualized birth plan,nutrition and exercise guidance, weight control during pregnancy, self-monitoring the situation of fetal, introduce the benefits of spontaneous labor, pain relief method, intrapartum matching techniques, the introduction of perineal injury, birth experience, the interpretation of complications during delivery, regular telephone follow-up and timely solve the problems actively, individual guidance and establish personalized management files during pregnancy to systematically give continuous psychological support and intervention.Compare the cesarean section rate, vaginal delivery episiotomy rate, weight gain during pregnancy, birth weight of newborn babies, the incidence of macrosomia, anxiety score, delivery ability, the incidence of postpartum hemorrhage in 2 hours,the incidence of neonatal intrauterine infection.[Results]:(1)When two groups of pregnant women in the group general questionnaire, including age, education, work, family income, place of residence, healthcare, family income, place of residence, health care, crater nipple, gestationalage and body mass index before childbirth. They are comparable(P>0.05); (2)The number of two groups of pregnant women, HBeAg, HBcAb positive HBV-DNA> 1000 copies/ml number, there was no statistically significant difference,the content of HBsAg in peripheral blood has no statistical difference,too.(3)For the puerpers that nature birth, the comparison of anxiety score between first came into the group and into the labor room waiting for birth:There are no statistical difference (P>0.05)when they just came into the group, while after intervention, the score for experimental group are significantly lower than the control group (P<0.05); Comparison within group, for control group, the score when into the labor room is significantly higher than first came into the group (P< 0.05), while for the experimental group has no statistically difference(P>0.05) (4)When two groups of women in the labor room to give birth to ability difference was statistically significant (P< 0.05), the experimental group delivery response capacity is significantly higher than the control group.(5)There is statistically difference between 2 groups about childbirth pain score (P<0.05), the number of case severe pain occurred in the experimental group is obviously less than control group;(6)The comparison of weight gain during pregnancy and neonate situation between two groups:The weight gain of pregnant women during pregnancy in control group is over the standard and higher than the experimental group, the difference has statistically significant (P<0.05),and in control group the average weight of neonate and occurrence rate of macrosomia are higher than in experimental group (P<0.05);(7)The comparison of childbirth method: The labor method and rate of episiotomy have statistically difference between two groups (P<0.05); the cesarean section rate and episiotomy rate of experimental group are both lower than the control group;(8) Into the group, the differences between two groups of maternal blood coagulation function has no statistical significance (P> 0.05), but the incidence of postpartum hemorrhage in 2 hours,experimental group obviously lower than the control group (P< 0.01). (9) Blood after birth:both for HBsAg negative, HBV-DNA< 1000 copies/ml, HBsAb, HBeAb, HBeAb, HBeAg positive number has no statistical significance (P> 0.05).[Conclusion] Comprehensive nursing intervention could decrease the cesarean section rate, episiotomy rate of vaginal childbirth, anxiety rate before labor, chi ldbirth pain.Improve delivery response capacity, make the weight gain during pr egnancy within normal limits,reduce the incidence of macrosomia,reduce the inc idence of postpartum hemorrhage, make the birth outcomes better, it is worthy of clinical promotion and application.