摘要
目的探讨自然分娩与剖宫产分娩对产妇生理和心理影响的差异。方法选择2013年2月至2014年2月在四川省凉山州第二人民医院妇产科分娩的324例孕妇为研究对象。按照分娩方式的不同,将其分别纳入自然分娩组(n=126)与剖宫产组(n=198)。对两组产妇的产后疼痛评分、产后恢复情况(肛门排气时间、腹胀、厌食、便秘、恶心及呕吐;阴道流血时间;产后第1,2,3天平均体温)、产后情绪及产后泌乳情况进行统计学分析。本研究遵循的程序符合四川省凉山州第二人民医院人体试验委员会制定的伦理学标准,得到该委员会批准,分组征得受试对象的知情同意,并与之签署临床研究知情同意书。两组孕妇年龄、孕龄、分娩前体质量、身高、高中以上文化比例、城乡户口比例、定期产前检查比例、腹部手术史比例等一般临床资料比较,差异均无统计学意义(P>0.05)。结果 1自然分娩组产妇产后在同一时间点的疼痛评分显著低于剖宫产组,并且差异均有统计学意义(P<0.05)。2自然分娩组产妇肛门排气时间较剖宫产组早,并且自然分娩组产妇产后腹胀、厌食及阴道流血时间>1周发生率低于剖宫产组,差异均有统计学意义(P<0.05)。自然分娩组产后第1,2天体温均低于剖宫产组,并且差异均有统计学意义(P<0.05)。3自然分娩组产妇产后情绪良好者所占比例高于剖宫产组,并且差异均有统计学意义(P<0.05)。4自然分娩组产妇产后开始泌乳时间早于剖宫产组,并且差异有统计学意义(P<0.05)。结论自然分娩能减轻创伤,促进乳汁分泌和产后恢复。
f 324 cases who were delivered at Second People′s Hospital of Liangshan Yi Autonomous Prefecture from February 2013 to February 2014 were included into this study.According to different delivery approaches,they were divided into natural childbirth group（n=126）and cesarean section group（n=198）.The following items were observed：postpartum pain scores,recovery of postpartum function（anal exhaust time,incidence rate of abdominal distension,anorexia,〉1week vaginal bleeding time,temperature）,maternal mood and lactation.The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Second People′s Hospital of Liangshan Yi Autonomous Prefecture.Informed consent was obtained from the parents of each patient.There were no significant differences between two groups in the aspects of age, gestational age, weight etc..Results ①There were significant differences between two groups in pain scores at different time points（P〈0.05）.②The anal exhaust time in natural childbirth group was earlier than that in cesarean section group,and incidence rate of abdominal distension,anorexia,〉1 week vaginal bleeding time in natural childbirth group were lower than those in cesarean section group with significant differences（P〈0.05）.The temperature at 1st,2nd day after delivery in natural childbirth group were lower than those in cesarean section group（P〈0.05）.③ The proportion of puerpera with good emotion in natural childbirth group was higher than that in cesarean section group（P〈0.05）.④ The initial time of lactation in natural childbirth group was earlier than that in cesarean section group（P〈0.05）.Conclusions Natural childbirth could reduce trauma and promote lactation and postpartum recovery.
出处
《中华妇幼临床医学杂志（电子版）》
CAS
2015年第3期102-105,共4页
Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)
关键词
剖宫产术
自然分娩
产后期
疼痛
情绪
泌乳
Cesarean section
Natural childbirth
Postpartum period
Pain
Emotions
Lactation
