无痛分娩术联合体位管理纠正胎头位置异常的护理研究  

Nursing Care of Pregnant Women Accept-ing Painless Childbirth in Combination with Body Position Management to Correct Abnormal Position of Fetal Head

作　　者：庞建红[1] 杨月仙[1] 陈丽颜[1] 

机构地区：[1]广东省茂名市妇幼保健院产二科,茂名525000

出　　处：《临床护理杂志》2015年第2期10-12,共3页Journal of Clinical Nursing

摘　　要：目的探讨无痛分娩术联合体位管理纠正胎头位置异常的临床护理疗效,以期提高产妇的分娩质量和纠正胎位异常的有效率。方法选取2013年2月~2014年8月我科行阴道分娩的枕后位或枕横位产妇216例,依据产妇自愿原则分为研究组和对照组,各108例。研究组采用无痛分娩术联合体位管理。对照组采用常规自然分娩法。观察两组产妇纠正胎位异常有效率、阴道手术产率、剖宫产率、产程进展时间、不良反应及并发症发生率,并进行比较。结果研究组纠正胎位异常的有效率、剖宫产率、阴道手术产率、并发症发生率、产程进展时间优于对照组（P〈0.05）;两组不良反应发生率比较无显著性差异（P〉0.05）。结论无痛分娩术联合体位管理,可显著提高产妇的分娩质量和自然分娩率,安全性高,具有良好的妊娠结局。Objective Discussion the clinical nursing effect of painless childbirth in combination with body position man‐agement to correct abnormal position of fetal head in order to improve the quality and delivery of natural childbirth rate of maternal .Methods Select 216 cases of pregancy with the vaginal deliveries posterior position or occiput transverse position of maternal in our hospital from February 2013 to August 2014 ,including 108 cases by the use of painless childbirth surgery in combination with body position management as the study group ,while without acceptived surgery painless childbirth and body position management as a control observed group .Two groups of maternal fetal abnormalities corrected efficiency ,ce‐sarean section rate ,time of stages of labor and the incidence of adverse reactions and complications were compared .Result The validity of the study group in correcting abnormal maternal fetal position ,cesarean section rate ,vaginal operative deliv‐ery rates ,postpartum complications and birth process observation time performance than the control group ,in which correct abnormal fetal position effective rate of 75 .93% in the study group ,significantly higher than 49 .07% of the observation group ,the difference was statistically significant （P 〈0 .05） .There were no statistically significant difference （P〉 0 .05） in adverse reaction incidence of maternal in two groups .Conclusion painless childbirth in combination with body position man‐agement can significantly improve the quality and delivery of natural childbirth rate of maternal and safe ,with good pregnan‐cy outcome and should be introduced in clinical practice .

关 键 词：无痛分娩 胎位不正 

分 类 号：R714.3[医药卫生—妇产科学]