Nursing of five pregnant women carrying twins with velamentous placenta

Abstract

Objective To summarize the nursing experience of five pregnant women carrying twins with velamentous placenta.Methods We gave those women regular prenatal examination and proper education, interviewed with birth attendants, and discussed the special case preoperatively. We took the following measures, emergently managing re-transfusion of umbilical cord blood intraoperatively, closely observing their disease conditions postoperatively and starting the contingency plans for postpartum hemorrhage. Besides, we also paid much attention to patients' psychological nursing and health education.Results Those woman gave birth to two live infants successfully through cesarean section at 34+2 to 37+3 weeks, of which two babies required tracheal intubation. Those patients' condition was quite stable, and they discharged from the hospital smoothly.Conclusions During pregnancy, nurses should place much emphasis on prenatal examination and education so as to facilitate early diagnosis and choose the proper time and model of delivery. At delivery, nurses should closely observe pregnant women, with births of two neonates respectively attended by two groups of midwives, while obstetric and pediatric doctors cooperatively assist the saving of fetus, which is helpful for increasing success rate of birth. Key words: Hemorrhage; Nursing; Velamentous placenta; Twin pregnancy