产妇分娩体位管理对分娩结局及新生儿的影响

发布时间：2018-02-23 07:40

本文关键词： 分娩体位产妇产程会阴保护新生儿窒息　出处：《中国妇幼保健》2016年23期 　论文类型：期刊论文

【摘要】：目的研究产妇不同分娩体位对分娩结局及新生儿的影响。方法选择2013年11月-2015年4月间在该院分娩的480例足月妊娠孕妇进行回顾性研究,根据孕妇的实际情况采用不同分娩体位,将足月妊娠孕妇回顾性分为仰卧位组、侧卧位组、半卧位组、蹲位组、坐位组及跪位组,每组80例。观察产妇产程进展、产后出血情况、产后会阴保护程度以及新生儿窒息发生情况。结果仰卧位组产妇平均产程较其余分娩体位组产妇平均产程长(P0.01),而半卧位组产妇平均产程最短。坐位组产妇产后出血的情况最多,仰卧位组产妇产后出血的例数最少。蹲位分娩体位对产妇的会阴保护程度较其余分娩体位组产妇高(P0.01)。跪位分娩体位对产妇的会阴保护程度较其余分娩体位组产妇低。仰卧分娩体位组产妇新生儿窒息发生率较其余分娩体位组产妇高(P0.01)。结论仰卧分娩体位会增加产妇产程,新生儿窒息发生率也较其他分娩体位高。蹲位分娩体位对产妇会阴的保护程度较高。
[Abstract]:Objective to study the effect of different postnatal positions on delivery outcome and newborn. Methods A retrospective study was carried out in 480 pregnant women who gave birth in our hospital from November 2013 to April 2015. According to the actual situation of pregnant women, the pregnant women of term pregnancy were divided into supine position group, lateral position group, semi-lying position group, squat group, sitting position group and kneeling position group retrospectively. Postpartum hemorrhage, Results the average parturient stage in supine position group was longer than that in other postpartum postpartum position group (P 0.01), while the half lying position group had the shortest average delivery process, while the sitting position group had the most postpartum hemorrhage, while the postpartum postpartum position group had the lowest postpartum perineum protection degree and neonatal asphyxia. Puerpera in supine position group had the least number of cases of postpartum hemorrhage. The perineal protection of puerpera in squatting position was higher than that in other delivery position group. The perineal protection degree in kneeling position was higher than that in other delivery position group. The incidence of neonatal asphyxia in the supine delivery position group was higher than that in the other parturient position group (P 0.01). The incidence of neonatal asphyxia was also higher than that in other delivery positions.
【作者单位】：辽宁医学院护理学院;沈阳医学院沈洲医院;
【基金】：国家专利《一种重组风疹病毒E1蛋白及其应用》专利号(2L 2008 10012772.1) 沈阳市科技局课题(F10-149-9-34)
【分类号】：R473.71

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