初产妇第2产程时使用分娩凳辅助坐式的临床价值  

The Clinical Value of Birthstool Assisted Sitting in Second Stage of Labor for Primipara

作　　者：薄翠华 

机构地区：[1]山东省日照市岚山区妇幼保健院妇产科,山东日照276800

出　　处：《中国继续医学教育》2017年第2期143-144,共2页China Continuing Medical Education

摘　　要：目的分析初产妇在第二产程使用分娩凳辅助坐式的临床价值。方法在我院待产的产妇中选取90例初产妇,随机分为对照组45例和观察组45例,在产妇进入第二产程时对照组选择仰卧位用力,比较两组的分娩结局。结果观察组的新生儿窒息发生率、会阴侧切率、经阴道分娩率分别为2.2%、11.1%、84.5%,对照组分别为13.3%、26.7%、62.2%,观察组的新生儿窒息率、会阴侧切率和经阴道分娩率均优于对照组,且观察组的第二产生时间、产后2 h的出血量低于对照组,两组间差异有统计学意义,P<0.05。结论在初产妇的第二产程中应用分娩凳辅助坐式用力分娩可缩短产程,提高自然分娩率,改善分娩结局。Objective To analyze the clinical value of assisted mastectomy in the second stage of labor. Methods 90 pregnant women were randomly divided into control group（n=45） and observation group（n=45）. In the second stage of labor, the control group was forced in the supine position and the outcome of the two groups was compared. Results The incidence of neonatal asphyxia, perineum lateralization rate and vaginal delivery rate were 2.2%, 11.1% and 84.5% in the observation group was 13.3%, 26.7% and 62.2%. The incidence of neonatal asphyxia, perineum lateralization rate and vaginal delivery rate of the observation group were superior to the control group, and the second time of birth, the amount of bleeding after 2 hours postpartum was lower than the control group, the difference between the two groups was statistically significant, P〈0.05. Conclusion In the second stage of labor, maternity stair assisted assisted sitting delivery can shorten the labor stage, improve the natural delivery rate and improve the outcome of labor.

关 键 词：初产妇 第二产程 坐式分娩 

分 类 号：R714[医药卫生—妇产科学]