自由体位分娩对产程进展的影响  

Effect of free position delivery on the labor progress

作　　者：徐志君[1] 周勤燕[1] 占园园[1] 

机构地区：[1]浙江省衢州市人民医院产,科324000

出　　处：《中华现代护理杂志》2013年第29期3627-3629,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨自由体位分娩对产程进展的影响.方法 将2012年2月至2013年2月衢州市人民医院诊治的120例产妇根据随机数字法分为对照组（常规体位）和观察组（自由体位）,每组60例,对两组产妇的分娩方式、产程时间、新生儿窒息率、产后出血率进行观察和比较.结果 观察组产妇的顺产率明显高于对照组（81.7％比55.0％）,差异有统计学意义（x2=9.86,P＜0.05）;剖宫产率显著降低（15.0％比38.3％）,差异有统计学意义（x2=8.35,P＜0.05）;第一产程[（8.5±3.0）h比（11.0±3.5）h]、第二产程[（28.0±17.0） min比（52.0±17.0） min]、第三产程[（6.0±3.0）min比（8.0±4.0）min]及总产程[（9.2±3.5）h比（12.0±3.8）h]均明显缩短,差异有统计学意义（t分别为2.42,2.89,2.27,2.44;P ＜0.05）;新生儿窒息率（1.7％比15.0％）、产后出血率（1.7％比13.3％）均明显降低,差异有统计学意义（x2分别为6.98,4.32;P ＜0.05）.结论 自由体位分娩明显加速产程进展,提高分娩质量,值得临床推广.Objective To explore the effect of free position delivery on the labor progress.Methods The 120 puerperants in our hospital from Feb 2012 to Feb 2013 randomly divided into the control group （routine position） and the observation group （free position）,each with 60 cases.The delivery mode,labor time,the rate of neonatal asphyxia and postpartum hemorrhage in the two groups were observed and compared.Results Compared with the control group,the rate of vaginal delivery in the observation group was significantly increased （81.7％ vs 55.0％）,and the difference was statistically significant （x2 =9.86,P ＜0.05） ; the rate of cesarean section in the observation group was obviously decreased （15.0％ vs 38.3％）,and the difference was statistically significant （x2 =8.35,P ＜ 0.05） ; the first （8.5 ± 3.0 vs 11.0 ± 3.5）,second （28.0±17.0 vs 52.0±17.0）,third stage （6.0 ±3.0 vs 8.0 ±4.0） and total stage （9.2 ±3.5 vs 12.0 ±3.8） of labor time were significantly reduced in the observation group,and the differences were statistically significant （t =2.42,2.89,2.27,2.44,respectively; P ＜ 0.05） ; the rate of neonatal asphyxia （1.7％ vs 15.0％） and postpartum hemorrhage （1.7％ vs 13.3％） were obviously decreased in the observation group,and the differences were statistically significant （x2 =6.98,4.32,respectively; P ＜ 0.05）.Conclusions The free position dehvery can accelerate the labor progress,enhance the delivery quality,and is worthy of clinical promotion.

关 键 词：分娩 自由体位 产程进展 

分 类 号：R473.71[医药卫生—护理学]