活跃期体位干预对分娩的影响  

Influence of posture intervention during the activity period on delivering

作　　者：段春英[1] 陈殿红[1] 

机构地区：[1]泰山医学院附属聊城市第二人民医院,252601

出　　处：《中国实用护理杂志（中旬版）》2009年第11期15-18,共4页Chinese Journal of Practical Nursing

基　　金：聊城市卫生局立项课题（2007-088）

摘　　要：目的探讨在产程活跃期对胎头浮动初产妇实施体位干预，提出恰当的处理方法，以取得良好的分娩结局。方法选择2007年12月-2008年6月住院经阴道分娩的初产妇200例，随机分为观察组和对照组各100例，观察组在待产过程中采用体位干预，对照组取平卧位或侧卧位直至宫口开全，不予体位指导。分析比较2组产后出血、分娩结局、羊水及新生儿Apgar评分情况。结果观察组的第一、第二产程时间、顺产率及剖宫产率、产后出血、新生儿窒息率等结果均显著优于对照组，而2组新生儿体质量及阴道助产率比较无显著差异。结论产程活跃期胎头浮动孕妇实施体位干预，可加速胎先露下降，缩短产程，促进自然分娩，降低剖宫产率，减少母儿并发症，从而改善分娩结局。Objective To know the proper posture intervention for primipara with floating head during the course of activity period, and then obtain satisfactory prognosis. Methods Divided 200 primipara with floating bead into the observation group and the control group randomly, there were 100 cases in the each group. Routine nursing cares were used in the control group, while posture intervention were used in the observation group. Compared the prognosis of pirmipara and their newborns between the two groups. Results The rate of natural labour in the observation group was higher than in the control group, less complications had occurred in the observation group. There were no significant differencs of avoirdupois of newborns between the two groups. Conclusions Posture intervention for primipara with floating head during the course of activity period can effective accelerate the drop of fetal presentation, shorten birth process and then promote natural labour with few related complications and satisfactory prognosis.

关 键 词：体位干预 产程 活跃期 胎头浮动 分娩 

分 类 号：R714.3[医药卫生—妇产科学] R473.6[医药卫生—临床医学]