摘要
目的探讨自由体位分娩方式配合会阴无保护接生技术对产妇分娩结局以及新生儿的影响。方法采用前瞻性研究的方法,选取2017年2月至2018年6月秦皇岛市妇幼保健院收治的160例产妇,按照随机数字表法,将其分为研究组与对照组,每组各80例。研究组产妇给予自由体位分娩方式且配合会阴无保护接生技术,对照组产妇给予传统助产方式。比较两组产妇的会阴裂伤程度、会阴侧切率、第二产程时间、产后2 h出血量、新生儿窒息、新生儿Apgar评分、并发症情况、剖宫产率以及自然分娩率。结果研究组产妇第二产程时间为(45. 71±15. 68) min,短于对照组的(67. 62±17. 12) min,差异具有统计学意义(P <0. 05);研究组产妇的会阴Ⅱ度裂伤率(2. 5%vs. 10. 0%)、会阴侧切率(23. 75%vs. 55. 0%)、新生儿窒息率(2. 5%vs. 8. 75%)、剖宫产率(23. 75%vs. 46. 25%)及并发症发生率(3. 75%vs. 13. 75%)均显著低于对照组(P <0. 05);两组产后2 h出血量比较(151. 22±38. 46 ml vs. 147. 56±45. 89ml),差异无统计学意义(P> 0. 05);研究组新生儿Apgar评分(8. 02±0. 91分vs. 6. 99±1. 12分)、自然分娩率(76. 25%vs. 53. 75%)均高于对照组(P <0. 05)。结论自由体位分娩方式配合会阴无保护接生技术可有效降低剖宫产率,促进自然分娩,提高自然分娩率,减少会阴裂伤,能够最大程度地确保母婴安全。
Objective To explore free position combined with perineal unprotected delivery on maternal delivery outcome and newborn.Methods 160 pregnant women admitted to our hospital from February 2017 to June 2019 were selected prospectively and randomized into two groups.The study group(n=80)underwent free position and unprotected delivering.The control group(n=80)underwent traditional midwifery delivery.Comparison of maternal perineal laceration,episiotomy rate,second stage of labor duration,2 h postpartum hemorrhage amount,neonatal Apgar score,other complications,cesarean section rate and natural delivery rate.Results The second stage duration of study group was(45.71±15.68)min,which was shorter than control group's(67.62±17.12)min(P<0.05).The episiotomy rate,perineal laceration degree,neonatal asphyxia rate,cesarean section rate and complication rate of parturients in study group were significantly lower than in control group(P<0.05).There was no significant difference in postpartum 2h blood loss(P>0.05).The Apgar score and natural birth rate in study group were higher than in control group(P<0.05).Conclusion Free position delivery combined with unprotected delivery can effectively reduce cesarean delivery rate,promote natural delivery and result in less complications,which is in favor of mother and baby safety.
作者
才越
贾幸花
马晓莉
CAI Yue;JIA Xing-hua;MA Xiao-li(Department of obstetrics,qinhuangdao maternal and child health care hospital,Qinhuangdao Hebei 066000,China)
出处
《临床和实验医学杂志》
2019年第2期195-198,共4页
Journal of Clinical and Experimental Medicine
基金
河北省科技厅科研基金项目(编号:201703A113)
关键词
自由体位分娩
会阴无保护接生
自然分娩
第二产程时间
剖宫产率
Free position delivery
Unprotected delivery
Natural childbirth
The second stage of labor
Cesarean delivery rate
