345例初产妇无保护会阴接生的临床观察

发布时间：2019-06-05 07:09

【摘要】：目的探讨无保护会阴接生法临床应用的效果。方法回顾性分析2014年10月至12月在西安市第四医院产科的885例自然分娩的健康初产妇临床资料,分为采用控制胎头娩出速度,无保护会阴分娩的初产妇345例作为观察组,采用传统接生法分娩的初产妇540例作为对照组。比较两组产妇会阴裂伤程度、产时出血量、新生儿窒息、新生儿体重及产妇满意率的差异。结果观察组产妇会阴完整率、Ⅰ度裂伤比率分别为13.04%、77.97%,显著高于对照组,而会阴侧切和Ⅱ度裂伤率显著低于对照组,差异均有统计学意义(χ2值分别为131.09、4.67、127.19、14.18,均P0.05)。观察组产妇满意度显著高于对照组(χ2=24.74,P0.05),而产时出血量显著低于对照组(t=-11.91,P0.05),两组新生儿窒息发生率无显著性差异(χ2=0.06,P0.05),新生儿体重无显著性差异(t=1.28,P0.05)。结论无保护会阴接生法可提高初产妇会阴完整率,减轻了产妇会阴损伤的程度,降低会阴侧切率,减少产时出血,无明显的不良分娩结局,提高产妇满意度和助产技术,值得临床推广。
[Abstract]:Objective to investigate the clinical effect of unprotected perineal grafting. Methods the clinical data of 885 healthy parturients with natural delivery in Xi'an fourth Hospital from October to December 2014 were analyzed retrospectively. the parturients who controlled the delivery rate of fetal head and did not protect perineal delivery were used as observation group. 540 parturients delivered by traditional delivery method were used as the control group. The degree of parturient and perineal laceration, the amount of bleeding during delivery, neonatal asphyxia, neonatal weight and maternal satisfaction rate were compared between the two groups. Results the perineal integrity rate of parturients in the observation group was 13.04% and 77.97%, respectively, which was significantly higher than that in the control group, while the perineal lateral incision and second degree laceration rates were significantly lower than those in the control group. The difference was statistically significant (蠂 2 = 131.09, 4.67127.19, 14.18, P 0.05). The satisfaction of parturients in the observation group was significantly higher than that in the control group (蠂 2 鈮，

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