拉玛泽分娩法在构建自然分娩法则中的作用  

The Function of Lamaze Childbirth Method in Constructing Natural Childbirth Law

作　　者：邵艳丽[1] 蔺香云[2] 刘冉冉[3] 张洪芹[3] 

机构地区：[1]山东省烟台市毓璜顶医院莱山分院妇产科,山东烟台264000 [2]山东省滨州医学院附属医院妇产科,山东滨州256600 [3]滨州医学院组织学和胚胎学教研室,山东烟台264000

出　　处：《中国医药指南》2013年第24期399-400,406,共3页Guide of China Medicine

基　　金：山东省自然科学基金(ZR2012HM039)

摘　　要：目的探讨拉玛泽分娩法在全产程分阶段应用对产妇情绪、疼痛程度及分娩结局的影响,以探寻拉玛泽分娩法在构建自然分娩法则中的作用。方法选取2010年3月至2011年5月在本院定期产前检查,孕周28周即开始接受拉玛泽分娩技巧培训,具备自然分娩条件,且有自然分娩意愿,分娩时开始接受拉玛泽分娩法训练的初产妇269例作为观察组;选取同期具备自然分娩条件,且有自然分娩意愿,但孕期未接受拉玛泽分娩法训练,分娩时也不进行拉玛泽分娩法指导的初产妇280例为对照组。分别比较两组产妇在产程过程中的焦虑、抑郁程度、产时疼痛程度及分娩结局的情况。结果两组产妇产前焦虑、抑郁程度、产时疼痛程度、分娩时间、剖宫产率、产后出血及新生儿窒息率,差异均有统计学意义。结论熟练掌握并实时应用拉玛泽分娩法能有效降低产妇对分娩的恐惧感及产时疼痛程度,有效缩短产程、提高自然分娩率,减少产后出血及新生儿窒息的发生率,从而提高产科质量,值得在临床广泛推广应用。Objective Investigate the effect of Lamaze childbirth method used at different phrases during the whole birth process on maternal mood, the pain level and delivery outcomes, in order to explore its function in constructing natural childbirth law. Methods 269 primiparas, taking regularly examination, accepting Lamaze childbirth method training from gestational age at 28 weeks, willing to take spontaneous delivery with natural childbirth conditions in our hospitals from March 2010 to May 2011 were assigned to the observation group. Another 280 primiparas under the same conditions were set as the control group, in which the primiparas received neither training through pregnant period nor any instructions related to it even during childbirth process. The two groups were compared in respect of the SDS, SAS,the pain level and delivery outcomes. Results The observation group was significantly superior to the control group in respect of the SDS,SAS, pain level, delivery time and asphyxia of newborns. The cesarean section rate and the amount of vaginal bleeding decreased obviously in the observation group. Conclusions The Lamaze childbirth method may effectively reduce fears and pain levels, shorten the stage of labor, facilitate natural childbirth, lower the rate of uterine-incision delivery and decrease postpartum hemorrhage and the rate of asphyxia of newborns. Consequently, it is of great practical value in maternity and can be safely used for a wide range.

关 键 词：拉玛泽分娩法 自然分娩 产妇 

分 类 号：R714.3[医药卫生—妇产科学]