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凯格尔运动+全程导乐分娩对产妇分娩结局及新生儿Apgar评分的影响

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摘要 目的:观察在产科护理过程中开展凯格尔运动+全程导乐分娩对于产妇分娩结局以及新生儿Apgar评分的影响。方法:在2022年3月至2023年3月本院产妇中选择300例为对象,数字表随机划分对照组(150例,产妇分娩过程中开展常规助产护理)和观察组(150例,开展凯格尔运动+全程导乐分娩)。分析两组产妇分娩结局以及新生儿Apgar评分等。结果:对比两组产妇在分娩过程中各产程用时,观察组均短于对照组,(P<0.05)。对比两组分娩期间疼痛评分、产后出血量,观察组均低于对照组,(P<0.05)。对比两组妊娠结局,观察组宫缩乏力、新生儿窒息以及宫内窘迫等发生率均低于对照组,(P<0.05)。对比两组新生儿Apgar评分,观察组高于对照组,(P<0.05)。结论:在进行助产护理过程中开展凯格尔运动+全程导乐分娩,可以缩短产程用时,减少产后出血量,降低产妇在分娩过程中疼痛程度,改善妊娠结局,提升新生儿Apgar评分。 Objective:To observe the impact of carrying out Kegel exercise and whole process guided delivery during obstetric care on the delivery outcomes of postpartum women and the Apgar score of newborns.Method:From March 2022 to March 2023,300 postpartum women in our hospital were selected as the subjects and randomly divided into a control group(150 cases,receiving routine midwifery care during delivery)and an observation group(150 cases,receiving Kegel exercise and full course guided delivery)using a digital table.Analyze the delivery outcomes of two groups of postpartum women and the Apgar score of newborns.The results showed that the observation group had shorter delivery time during each stage of labor compared to the control group(P<0.05).Comparing the pain score and postpartum bleeding volume during delivery between the two groups,the observation group was lower than the control group(P<0.05).Comparing the pregnancy outcomes of the two groups,the incidence of uterine atony,neonatal asphyxia,and intrauterine distress in the observation group was lower than that in the control group(P<0.05).Comparing the Apgar scores of two groups of newborns,the observation group was higher than the control group(P<0.05).Conclusion:Carrying out Kegel exercise and whole process guided delivery during midwifery care can shorten the duration of labor,reduce postpartum bleeding,reduce the degree of pain during childbirth,improve pregnancy outcomes,and enhance the Apgar score of newborns.
作者 林雪美
出处 《黑龙江中医药》 2023年第5期162-164,共3页 Heilongjiang Journal of Traditional Chinese Medicine
关键词 膀胱过度活动症 合并症 焦虑 中成药 Kegel movement Full process guided delivery Delivery outcome Newborn Apgar score
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