摘要
目的探讨人工破膜和自然破膜结合自由体位对初产妇分娩和妊娠结局的影响。方法选取2016年3月至2016年8月于我院产房待产的初产妇120例,随机分为人工组(人工破膜)和自然组(自然破膜)各60例,两组均采用自由体位分娩,比较两组产妇的产痛、分娩控制感及妊娠结局等。结果两组的产痛评分差异无统计学意义(P>0.05),人工组的分娩控制感显著高于自然组(P<0.05)。人工组的产妇产后24 h出血量和新生儿Apgar评分均显著优于自然组(P<0.05)。两组的剖宫产率、会阴侧切率及产瘤发生率无统计学差异(P>0.05)。结论人工破膜结合自由体位能取得良好的妊娠结局,减轻了产妇的生产痛苦。
Objective To explore the effects of flee body position combined with artificial rupture of fetal membranes or natural rupture of fetal membranes on the delivery and pregnancy outcome ofprimiparae. Methods 120 cases ofprimiparae in the delivery room of our hospital from March 2016 to August 2016 were selected and randomly divided into the artificial group （artificial rupture of fetal membranes） and natural group （natural rupture of fetal membranes）, with 60 cases in each group. Both groups received flee body position for delivery. The pain of labor, sense of labor control and pregnancy outcome were compared between two groups. Results No statistical difference was found between two groups in the pain of labor （P 〉0.05）, while the artificial group had significantly higher sense of labor control than natural group （P〈0.05）. The postpartum hemorrhage within 24 h of primiparae and Apgar score of neonates of artificial group were significantly better than those of natural group （P〈0.05）. No statistical difference was found between two groups in the rate of cesarean section, rate of episiotomy or incidence rate of caput succedaneum （P 〉0.05）. Conclusions Free body position combined with artificial rupture of fetal membranes can achieve good pregnancy outcome, and reduce the labor pain ofprimiparae.
作者
张艳琼
陈延龄
刘莹
ZHANG Yanqiong CHEN Yanling LIU Ying(Department of Obstetrics and Gynecology, the Second People ＂s Hospital of Yantian District, Shenzhen 518083, China)
出处
《临床医学工程》
2017年第8期1111-1112,共2页
Clinical Medicine & Engineering
关键词
初产妇
人工破膜
自然破膜
自由体位
分娩
妊娠结局
Primiparae
Artificial rupture of fetal membranes
Natural rupture of fetal membranes
Free body position
Delivery
Pregnancy outcome
