摘要
目的探讨第二产程体位干预对产妇分娩结局的影响。方法选取2017年8月至2018年1月在我院自然分娩的200例足月产妇为研究对象,将其随机等分为观察组与对照组,对照组第二产程采用常规仰卧位,观察组在此基础上进行体位干预,采用自由体位,比较两组产妇一般分娩情况、母体结局、产妇分娩满意度。结果观察组第二产程耗时较对照组长,但产后2 h内出血量、会阴水肿及会阴侧切率低于对照组(P <0. 05),羊水粪染率低于对照组(P <0. 05),Ⅰ度撕裂发生、胎心异常好转高于对照组(P <0. 05),胎心好转时长短于对照组(P <0. 05),观察组产妇满意度高于对照组(P <0. 05),但两组第二产程延长例数、产钳助产、肩难产及中转剖宫产、会阴正中切开、Ⅱ度撕裂、新生儿窒息对比差异无统计学意义(P> 0. 05)。结论对符合阴道自然分娩指征的产妇,第二产程给予体位干预可取得更佳母婴分娩结局,值得临床推广应用。
Objective To explore the effect of postural intervention in second stage of labor on maternal delivery outcome.
Methods To compared the status of general delivery, maternal outcome, and delivery satisfaction, 200 cases of full-term parturient who gave birth in spontaneous labor in our hospital from August 2017 to January 2018 were observed, and randomly divided into study group and control group with equal members. The control group adopted the normal supine position in the second stage of labor, while the study group adopted postural intervention on this basis.Results The duration of the second stage labor in the study group was longer than that of the control group, but the bleeding amount, perineal edema and perineal lateral episotomy rate within 2h after delivery were lower than the control group（ P 〈0.05）, the incidence of meconium stained amniotic fluid was lower than the control group as well（ P 〈0.05）. Compared with the control group in terms of incidence of Ⅰdegree laceration and abnormal fetal heart improvement in high（ P 〈0.05）, the improvement duration of fetal heart was shorter in the study group（ P 〈0.05）. The satisfaction degree in the study group was higher than the control group（ P 〈0.05）. However, the difference of prolonged labor cases, forceps midwifery, shoulder dystorcia and interim cesarean delivery, median episiotomy, Ⅱdegree laceration, and neonatal asphyxia between the two groups in the second stage of labor had no statistical significance（ P 〉0.05）.Conclusion A better maternal and childbirth outcome could be achieved by giving a postural intervention to parturient who were fit to the indication of vaginal spontaneous childbirth in the second stage of labor,which was worthy of clinical promotion and application.
出处
《护理实践与研究》
2018年第17期55-57,共3页
Nursing Practice and Research
关键词
第二产程
体位干预
分娩结局
Second stage of labor
Postural intervention
Delivery outcome
