不同体位分娩对妊娠结局的临床观察

发布时间：2019-03-19 10:35

【摘要】：目的探讨产程中实施不同体位分娩对妊娠结局的影响。方法选取于2012年5月-2015年5月入该院住院分娩的自然临产初产妇800例,随机分为观察组和对照组,每组400例。观察组进入产程后鼓励产妇选择卧、走、立、坐、跪、趴、蹲等自由体位待产,在分娩时由产妇根据舒适程度选择侧卧位或俯卧位分娩,对照组采用传统方法待产及膀胱截石位分娩,比较两组产妇的妊娠结局、产程时间、生殖道损伤情况、产后出血、产后产妇的舒适度及新生儿窒息率。结果观察组的自然分娩率明显高于对照组,剖宫产率明显低于对照组,比较差异均有统计学意义(P0.05);观察组各产程及总产程时间均短于对照组,产后24 h出血量少于对照组,比较差异均具有统计学意义(P0.05)。观察组产后产妇的舒适度明显高于对照组,比较差异均具有统计学意义(P0.05)。观察组会阴侧切、会阴裂伤和新生儿窒息率均低于对照组,比较差异均具有统计学意义(P0.05)。结论产程中实施自由体位分娩是一种安全有效的分娩方式,可提高自然分娩率,降低新生儿窒息率,具有临床推广应用价值。
[Abstract]:Objective to investigate the effect of different position delivery on pregnancy outcome during labor. Methods from May 2012 to May 2015, 800 parturients with natural parturients were randomly divided into observation group and control group with 400 cases in each group. The observation group encourages the lying-in women to choose to lie down, walk, stand, sit, kneel, lie down, squat and other free positions to be delivered after entering the labor process, and the parturients choose the side-lying position or prone position to give birth according to the comfort of the parturient. In the control group, the pregnant outcome, duration of labor, reproductive tract injury, postpartum hemorrhage, postpartum comfort and neonatal asphyxia rate were compared between the two groups. Results the natural delivery rate in the observation group was significantly higher than that in the control group, and the cesarean section rate in the observation group was significantly lower than that in the control group (P0.05). The duration of labor and total labor in the observation group was shorter than that in the control group, and the amount of bleeding at 24 hours after delivery was less than that in the control group. The difference was statistically significant (P0.05). The comfort of postpartum parturients in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P0.05). The rate of perineal lateral incision, perineal laceration and neonatal asphyxia in the observation group was lower than that in the control group, and the difference was statistically significant (P0.05). Conclusion Free position delivery is a safe and effective way of delivery, which can improve the rate of natural delivery and decrease the rate of neonatal asphyxia. It is valuable for clinical application.
【作者单位】：河北医科大学第四医院产科;河北医科大学护理学院;海南医学院附属医院;
【基金】：河北省科技支撑计划项目(122777149)
【分类号】：R714

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