STRATEGIES FOR NURSING UTERINE RUPTURE IN PRIMIPARAS DURING PREGNANCY

Objective: This study aims to analyse the clinical features of uterine rupture in primiparas during pregnancy a well as the nursing risks to improve risk awareness and strategies for nursing primiparas with abdominal pain during pregnancy among nurses. Methods: The medical records, including general data, first symptoms, clinical features, and other features of 11 primiparas with uterine rupture during pregnancy in our hospital were analysed retrospectively. Results: The results of the present study showed the presence of singleton pregnancies (10 cases), twin pregnancies (1 case), scarred uterus (10 cases), an unscarred uterus (1 case), induced abortion history (5 cases), and in vitro fertilization and embryo transfer (IVF-ET) history (3 cases). Nine cases visited the emergency department for abdominal pain, with two of them having had abdominal distension. In addition, incomplete uterine rupture (4 cases) and complete uterine rupture (7 cases) were observed. A total of 10 cases underwent a caesarean section plus uterine repair, and one case underwent subtotal hysterectomy. After the treatment, all primiparas and 5 foetuses survived, yet 7 foetuses died. Conclusions: Given the complex and multiple risk factors for uterine rupture in primiparas, nurses should make triage and risk assessments for primiparas with abdominal pain during pregnancy. Besides, they should critically analyse their vital signs as well as nonspecific symptoms, and make early interventions to avoid adverse outcomes and ensure maternal and foetal safety.