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目的探讨产程中实施不同体位分娩对妊娠结局的影响。方法选取于2012年5月-2015年5月入该院住院分娩的自然临产初产妇800例,随机分为观察组和对照组,每组400例。观察组进入产程后鼓励产妇选择卧、走、立、坐、跪、趴、蹲等自由体位待产,在分娩时由产妇根据舒适程度选择侧卧位或俯卧位分娩,对照组采用传统方法待产及膀胱截石位分娩,比较两组产妇的妊娠结局、产程时间、生殖道损伤情况、产后出血、产后产妇的舒适度及新生儿窒息率。结果观察组的自然分娩率明显高于对照组,剖宫产率明显低于对照组,比较差异均有统计学意义(P<0.05);观察组各产程及总产程时间均短于对照组,产后24 h出血量少于对照组,比较差异均具有统计学意义(P<0.05)。观察组产后产妇的舒适度明显高于对照组,比较差异均具有统计学意义(P<0.05)。观察组会阴侧切、会阴裂伤和新生儿窒息率均低于对照组,比较差异均具有统计学意义(P<0.05)。结论产程中实施自由体位分娩是一种安全有效的分娩方式,可提高自然分娩率,降低新生儿窒息率,具有临床推广应用价值。
Objective To investigate the effect of different delivery during delivery on pregnancy outcomes. Methods A total of 800 cases of spontaneous primipara between May 2012 and May 2015 in our hospital were randomly divided into observation group and control group with 400 cases in each group. Observation group into the labor process to encourage mothers to choose lying, walking, standing, sitting, kneeling, lying, squatting and other free position to be produced, during delivery by the maternal choice of lateral position or prone position according to the degree of comfort childbirth, the control group using the traditional method of production and Bladder lithotomy delivery, comparison of the two groups of maternal pregnancy outcomes, labor duration, genital tract injury, postpartum hemorrhage, postpartum maternal comfort and neonatal asphyxia. Results The rate of natural childbirth in the observation group was significantly higher than that in the control group, and the rate of cesarean section was significantly lower than that in the control group (P <0.05). The duration of labor and the total duration of labor in the observation group were shorter than those in the control group, Postpartum 24 h less bleeding than the control group, the difference was statistically significant (P <0.05). The observation group postpartum maternal comfort was significantly higher than the control group, the difference was statistically significant (P <0.05). In the observation group, episiotomy, perineal laceration and neonatal asphyxia were lower than those in the control group, with significant difference (P <0.05). Conclusions Free delivery of labor during labor is a safe and effective mode of delivery, which can increase the rate of natural delivery and reduce the rate of asphyxia of neonates, which is of clinical application value.