初产妇足月头位未衔接胎膜早破临产前体位管理

发布时间：2019-07-17 06:32

【摘要】：目的探讨足月头位未衔接胎膜早破的初产妇临产前取自由体位的安全性与可行性。方法经过评估的未临产足月头先露未衔接的胎膜早破初产妇230例,采用随机法分为两组,实验组102例,入院完成检查后送待产室进行体位管理,对照组128例按照常规护理要求绝对卧床直至分娩。比较两组的脐带脱垂及新生儿窒息的发生情况、婴儿体重、分娩方式,排尿情况、产程时间、破膜距离分娩时间、干预前后胎头位置等指标。结果 (1)两组均无显性及隐性脐带脱垂发生,两组婴儿体重比较差异无统计学意义(P0.05);(2)实验组阴道分娩率高于对照组(P0.05),枕横位及枕后位的发生率低于对照组(P0.01);(3)实验组产程时间、破膜距离分娩时间短于对照组,差异有统计学意义(P0.01,P0.01);(4)实验组干预2.5 h后的胎头位置明显下降,差异有统计学意义(P0.01)。结论无头盆不称的足月、头位未衔接胎膜早破孕妇临产前经过干预后取自由体位可以提高自然分娩率,缩短产程。
[Abstract]:Objective to investigate the safety and feasibility of free posture before delivery in full-term parturients with unconnected premature rupture of membranes. Methods 230 parturients with premature rupture of membranes were randomly divided into two groups. 102 cases in the experimental group were sent to the delivery room for posture management after admission, and 128 cases in the control group stayed in bed until delivery according to the requirements of routine nursing. The occurrence of umbilical cord prolapse and neonatal asphyxia, infant weight, delivery mode, urination, labor time, distance from rupture of membrane and position of fetal head before and after intervention were compared between the two groups. Results (1) there was no dominant and hidden umbilical cord prolapse between the two groups. There was no significant difference in body weight between the two groups (P 0.05); (2). The vaginal delivery rate in the experimental group was higher than that in the control group (P 0.05). The incidence of occipital transverse position and occipital posterior position was lower than that in the control group (P 0.01); (3). The delivery time of the experimental group was shorter than that of the control group (P0.01, P 0.01). (4) the fetal head position of the experimental group decreased significantly after 2.5 h intervention, the difference was statistically significant (P 0.01). Conclusion the free posture of pregnant women with unconnected premature rupture of membranes before delivery can improve the natural delivery rate and shorten the delivery process.
【作者单位】：陕西省人民医院;
【基金】：陕西省2013-2014年度国家临床重点专科建设项目专科护理基金资助(国卫办医函[2013]544号)
【分类号】：R473.71

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