刺激乳头结合打坐体位促进宫颈成熟和胎头衔接有效降低剖宫产率的临床研究  

A clinical study on reducing the cesarean rate effectively by stimulating the nipple in combination with meditation posture to promote cervical ripening and engagement onset of head

作　　者：刘艳华[1] 

机构地区：[1]山东省枣庄市妇幼保健院妇产科,山东枣庄277100

出　　处：《中国当代医药》2010年第7期34-35,共2页China Modern Medicine

摘　　要：目的:探讨临产前刺激乳头结合打坐体位促进宫颈成熟和胎头入盆,从而降低剖宫产率。方法:对产科门诊孕期检查的孕妇在孕37～38周时行阴道检查,筛查出宫颈成熟度极差、胎头未衔接,而具备阴道分娩条件的初孕妇280例,随机分为实验组和对照组,每组140例,对照组只常规检查和胎动计数,实验组另外在家自行刺激乳头结合打坐体位。结果:两组自然临产孕周、临产时产程时间、剖宫产率比较,差异有统计学意义(P<0.05),新生儿阿氏评分两组相比,差异无统计学意义(P>0.05)。结论:在孕37、38周后,针对宫颈成熟极差和胎头未衔接者,采用刺激乳头结合打坐体位的方法,可降低剖宫产率。Objective： To study stimulating the nipple in combination with meditation posture to promote cervical ripening and engagement onset of head before onset of labor, in order to reducing the cesarean rate accordingly. Methods： 280 pregnant women with poor cervical ripening and no engagement onset of head were chosen by vaginal examination in obstetrics clinic during gestational 37-38 weeks. They were randomly divided into two groups,experimental group （140 cases） and control group（140 cases）. In addition to routing examination and fetal movement for two groups,the experimental group had stimulated the nipple in combination with meditation posture by themselves at home. Gestational weeks of natural la bor and labor time and the cesarean rate were observed. Results： two groups were significant in statistics（P〈0.05） and there was no difference on neonatal Apgar score between two groups（P〈0.05）. Conclusion： For pregnancies with poor cervical ripening and no engagement onset of head after gestational 37-38 weeks, stimulating the nipple in combination with meditation posture can reduce the cesarean rate and be benefit to mother and infant.

关 键 词：刺激乳头 打坐体位 宫颈成熟 胎头衔接 

分 类 号：R714.3[医药卫生—妇产科学]