摘要
目的观察持续性指导孕(产)妇进行盆底肌锻炼对分娩结局及产后盆底肌力的影响。方法将106例孕妇分为试验组(51例)和对照组(55例),由1名专职健康教育护士任教盆底肌锻炼(PFMT)课程,对两组进行教育。课后对试验组采用专人电话随访指导,以了解其进行PFMT的情况,对照组未进行电话随访指导。结果两组剖宫产率和选择性剖宫产率的差异无统计学意义(均P>0.05);试验组第二产程时间短于对照组,差异有统计学意义(P<0.05),其余两产程时间两组间差异无统计学意义(均P>0.05);两组孕期母体增重、新生儿体重、会阴撕裂率、会阴侧切率比较,差异均无统计学意义(P>0.05);试验组产后6周、3个月盆底各类肌纤维收缩得分均优于对照组,差异有统计学意义(P<0.05)。结论持续性指导孕(产)妇进行盆底肌锻炼有助于缩短第二产程,有利于产后盆底肌力的恢复。
Objective To evaluate the effect of persistent guidance of pelvic floor muscle training（PFMT） on the delivery outcome and the postpartum pelvic muscle strength. Methods Totally 106 pregnant women were divided into two groups. All the patients attended the PFMT course guided by a midwife. After the course,51 women in the experimental group received telephone follow-up till 6 weeks after dilivery, while 55 women in the control group didn＇t receive the telephone follow-up. Results There were no significant differences in the rate of cesarean section and elective cesarean section,the gestational weight gain,the neonatal weight,the rate of episiotomy and the rate of laceration of perineum between the two groups（P〉0.05）. The duration of the second stage of labor in the experimental group was significantly shorter than that in the control group（P〈 0.05）. The pelvic muscle strength of the experimental group were better than that of the control group at 6 weeks and 3 months after delivery（P〈0.05）. Conclusions The persistent guidance of pelvic floor muscle training for the pregnant and postpartum women can effectively shorten the second stage of labor and contribute to the recovery of postpartum pelvic floor muscle strength.
出处
《中华护理杂志》
CSCD
北大核心
2013年第4期308-310,共3页
Chinese Journal of Nursing
基金
2010年广州医学院青年基金项目(编号:2010A03)
关键词
分娩
自体锻炼
围生期医护
Parturition
Autogenic Training
Perinatal Care
