摘要
目的探讨在低危初产妇自然分娩中应用改良式助产手法以降低会阴侧切率的临床效果。方法选择2012年10—12月运用传统方法行自然阴道分娩的592例初产妇为对照组;以2013年10—12月经改良式助产手法应用后行自然阴道分娩的541例初产妇为观察组。观察两组产妇会阴侧切情况、产后出血、第二产程情况和新生儿窒息情况。结果对照组592例初产妇中,会阴侧切者为584例,会阴侧切率98.6%;观察组541例初产妇中,会阴侧切者为320例,会阴侧切率为59.1%。两组比较差异有统计学意义(P<0.001)。两组产妇在产后出血、第二产程延长、会阴Ⅲ度撕裂和新生儿窒息等方面比较差异无统计学意义(P>0.05)。结论改良式助产手法能显著降低初产妇的会阴侧切率,最大限度地保护了会阴的完整性,同时无明显不良分娩结局,有效提高了助产质量。
Objective To investigate the effects of improved midwifery skills in natural childbirth on reducing lateral episiotomy rate in low-risk primiparas. Methods A retrospective study was conducted including 592 primiparas with traditional vaginal delivery in Obstetrics and Gynecology Hospital of Fudan University, Shanghai from October to December 2012 （ enrolled in the control group） and 541 primiparas with vaginal delivery who received improved midwifery skills from October to December 2013 （enrolled in the observational group ）. The lateral episiotomy rate, postpartum hemorrhage, second stage of labor and neonatal asphyxia between the two groups were compared. Results 584 out of 592 （98.6%） primiparas underwent lateral episiotomy in the control group, while 320 out of 541 （59.1% ） primiparas in the observational group underwent lateral episiotomy. The difference was significant （ P 〈 0. 001 ）. There were no significant differences in postpartum hemorrhage, prolonged second stage of labor, third degree of perineal laceration and neonatal asphyxia between the two groups. Conclusion Improved midwifery skills in natural childbirth can significantly reduce the lateral episiotomy rate in low-risk primiparas, and protect the perineal integrity. It has no adverse effects on maternal and neonatal morbidities and can effectively improve the quality of midwifery.
出处
《上海护理》
2016年第1期18-20,共3页
Shanghai Nursing
关键词
初产妇
改良式助产
会阴侧切率
Primipara
Improved midwifery skills
Lateral episiotomy rate
