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目的探讨无创接生对预防初产妇新生儿产伤的影响。方法选取2014年1-12月在该院实施无创接生的产妇2 000例为观察组,另选取2013年1-12月在该院实施常规接生法接生的产妇1 600例为对照组,两组产妇均为低危单胎、头位、足月、无严重孕期合并症和分娩并发症的初产妇。比较两组的会阴侧切率、新生儿体质量、新生儿产伤和窒息情况。结果新生儿产伤均发生在会阴侧切的产妇中,观察组的会阴侧切率、新生儿产伤数明显低于对照组,差异有统计学意义(P<0.05);而两组新生儿体质量和窒息数比较,差异无统计学意义(P>0.05)。结论低危孕妇无创接生可减少会阴侧切率和新生儿产伤,减少不良分娩结局,可推动和促进自然分娩,值得在临床上推广应用。
Objective To investigate the effect of noninvasive delivery on the prevention of neonatal birth injury in primipara. Methods A total of 2 000 maternal women who underwent noninvasive delivery in the hospital from January to December 2014 were selected as the observation group. Another 1,600 pregnant women who underwent conventional delivery from January 2013 to January 2013 were selected as the control group. Two groups Maternal low-risk single-child, head, full-term, no serious complications during pregnancy and childbirth complications of primipara. The episiotomy rate, neonatal weight, neonatal birth injury and asphyxia were compared between the two groups. Results Neonatal birth injury occurred in the perineal side of the pregnant women, the observed group of perineal lateral cut rate, neonatal injury was significantly lower than the control group, the difference was statistically significant (P <0.05); while the two groups of neonatal weight And asphyxia number, the difference was not statistically significant (P> 0.05). Conclusions Noninvasive delivery of low-risk pregnant women can reduce episiotomy and neonatal birth injury, reduce the outcome of poor delivery, can promote and promote natural childbirth, it is worth to promote the clinical application.