摘要
目的探讨蹲位助产对产妇分娩效果的影响。方法按入院的先后顺序随机抽取100例初产妇作为观察组,100例初产妇作为对照组,分别实施蹲位助产和采用常规仰卧截石位分娩。比较两组产妇分娩方式、分娩时间、羊水变化、产后出血量、新生儿Apgar评分及新生儿窒息发生率。结果观察组产妇阴道自然分娩率高于对照组(χ2=20.22,P<0.01);分娩总时间短于对照组(u=2.61,P<0.01);新生儿Apgar评分高于对照组(χ2=4.03,P<0.05);新生儿窒息发生率低于对照组(χ2=4.03,P<0.05);产妇产后出血量和羊水污染情况两组差异无统计学意义(P>0.05)。结论产妇分娩时实施蹲位助产能够提高阴道自然分娩率,缩短分娩总时间,提高新生儿Apgar评分,降低新生儿窒息发生率,效果优于常规仰卧截石位分娩。
Objective To investigate the effect of childbirth in squatting position. Methods According to the order of admission,100 primiparas served as observation group,and 100 served as control group.Squatting delivery was implemented in the observation group,and supine position for those in the control group.A comparison between the two groups was done as following：mode of delivery,delivery time,changes of amniotic fluid,amount of postpartum hemorrhage,neonatal Apgar score and the incidence of neonatal asphyxia. Results Compared with the control,the results in the observation group were：maternal vaginal delivery rate was higher（χ2=20.22,P〈0.01）;total delivery time was shorter（u=2.61,P〈0.01）;neonatal Apgar score was higher（χ2=4.03,P〈0.05）;and neonatal asphyxia rate was lower（χ2=4.03,P〈0.05）.No significant difference was noted between the two groups in volume of postpartum hemorrhage and amniotic fluid contamination（P〉0.05）. Conclusion Childbirth in squatting position increases vaginal delivery rate,shortens delivery time,improves neonatal Apgar score,and reduces the incidence of neonatal asphyxia,the effect is better than routine supine lithotomy position.
出处
《齐鲁医学杂志》
2015年第6期728-729,共2页
Medical Journal of Qilu
关键词
蹲位
分娩
治疗结果
squatting
parturition
treatment outcome
