水中分娩128例临床观察  

Clinical observation on 128 cases undergoing water birth

作　　者：曾琴[1] 陈慧[2] 李咏梅[1] 

机构地区：[1]湖北医药学院附属人民医院产科,湖北十堰442000 [2]中山大学孙逸仙纪念医院产科,广东广州510120

出　　处：《热带医学杂志》2014年第6期785-787,共3页Journal of Tropical Medicine

摘　　要：目的探讨水中分娩的安全性和临床应用效果。方法将128例在本院选择水中分娩的产妇作为研究组,将同期的单胎(无妊娠合并症及并发症)顺产的128例产妇作为对照组。比较两组产妇的疼痛程度、产程、产道裂伤、产时和产后并发症及新生儿结局。结果研究组产妇疼痛程度明显减轻,总产程比对照组短,差异有统计学意义(P<0.05);研究组均未行会阴切开,对照组会阴切开率为43.75%,两组比较差异有统计学意义(P<0.05);研究组产妇会阴裂伤程度、产后出血、产褥病率及新生儿窒息率与对照组比较差异无统计学意义(P>0.05)。无1例脐带断裂及新生儿溺水发生。结论水中分娩可使产妇总产程缩短,降低产妇疼痛程度,提高阴道分娩率,不增加会阴裂伤程度、产后出血、产褥感染率及新生儿窒息的发生,是安全可行的分娩方式。Objective To explore the safety and effectiveness of water birth. Methods A total of 128 parturient women who chose water birth were enrolled in study group while 128 parturient women who chose traditional vaginal birth were selected randomly during the same period as control group. Maternal pain degree,total stages of labor,laceration of birth canal, intrapartum and postpartum complications and the neonatal outcome in the two groups were analyzed. Results The maternal pain degree in study group was significantly reduced,the total stage of labor in study group was statistically significantly shorter than that in control group （P〈0.05）.There was no perineum inclines cutting in study group.The episiotomy rate was 43.75%, compare two groups, the difference was statistically significant（P〈0.05）.There was no significant difference in the degree perineal laceration,postpartum hemorrhage,the incidences of puerperal morbidity,and neonatal asphyxia between study group and control group （P〉0.05）.No cases of neonatal umbilical cord fracture and drowning. Conclusion Water birth can shorten the total stage of labor, improve the rate of vaginal delivery,no increase in the incidences of postpartum hemorrhage and neonatal asphyxia, so the method i8 a safe and feasible delivery mode.

关 键 词：水中分娩 产时产后并发症 新生儿结局 

分 类 号：R714.3[医药卫生—妇产科学]