拉玛泽减痛分娩法联合孕妇体操在促进初产妇自然分娩及降低剖宫产率中的作用  

Role of Lamaze pain-relieving delivery method combined with gravida gymnastics in promoting spontaneous delivery of primiparous women and reducing cesarean section rate

作　　者：李桂莲[1] 韩如峰 杨小会 

机构地区：[1]青岛市第三人民医院妇产科,山东青岛266042

出　　处：《中国妇幼保健》2017年第22期5739-5741,共3页Maternal and Child Health Care of China

基　　金：青岛市2013医药科研指导计划基金资助项目(WSZD060)

摘　　要：目的研究探讨拉玛泽减痛分娩法联合孕妇体操对促进初产妇自然分娩及降低剖宫产率的作用。方法选取2015年1月-2016年4月来该院建档并按期产检的初产妇97例,按照孕妇建档时间排序随机分为观察组(49例)和对照组(48例),观察组在孕妇妊娠16周即可指导其开展孕妇体操锻炼,妊娠28周指导进行拉玛泽减痛分娩法锻炼;对照组仅单纯进行产检指导服务,观察对比产妇分娩状况。结果经对比发现,观察组产妇自然分娩率为83.67%,剖宫产率为14.29%,阴道助产率为2.04%,对照组产妇自然分娩率为56.25%,剖宫产率为39.58%,阴道助产率为4.17%,两组对比差异有统计学意义(P<0.05);观察组产妇第一产程、第二产程以及总产程耗时均明显短于对照组(P<0.05);而两组产妇第三产程耗时比较,差异无统计学意义(P>0.05);观察组产妇产后出血、会阴侧切损伤以及新生儿窒息发生率均显著低于对照组(P<0.05)。结论拉玛泽减痛分娩法联合孕妇体操可有效缓解孕妇分娩疼痛,缩短产程耗时,增强自然分娩信心,改善妊娠结局。Objective To explore the role of Lamaze pain-relieving delivery method combined with gravida gymnastics in promoting spontaneous delivery of primiparous women and reducing cesarean section rate.Methods From January 2015 to April 2016,97 primiparous women setting up medical records and receiving prenatal examination regularly in the hospital were selected and randomly divided into observation group（49 primiparous women） and control group（48 primiparous women） according to the time of setting up medical records.Gravida gymnastics was conducted on the sixteenth gestational week among the primiparous women in observation group,then Lamaze pain-relieving delivery method was performed on the 28 th gestational week.In control group,guidance service of prenatal examination was provided for the primiparous women.Delivery conditions in the two groups were observed and compared.Results The rates of spontaneous delivery,cesarean section,and vaginal midwifery in observation group were 83.67%,14.29%,and 2.04%,respectively.The rates of spontaneous delivery,cesarean section,and vaginal midwifery in control group were 56.25%,39.58%,and 4.17%,respectively.There were statistically significant differences in the rates of spontaneous delivery,cesarean section,and vaginal midwifery between the two groups（P〈0.05）.The time of the first stage of labor,the second stage of labor,and the total stage of labor in observation group was statistically significantly shorter than that in control group（P〈0.05）.There was no statistically significant difference in the time of the third stage of labor between the two groups（P〈0.05）.The incidence rates of postpartum hemorrhage,perineal injury,and neonatal asphyxia in observation group were statistically significantly lower than those in control group（P〈0.05）.Conclusion Lamaze pain-relieving delivery method combined with gravida gymnastics can effectively relieve labor pain,shorten labor time,enhance the confidence of spontaneous delivery,and improve pregnancy outcomes.

关 键 词：拉玛泽减痛分娩法 孕妇体操 剖宫产率 自然分娩 

分 类 号：R714.3[医药卫生—妇产科学]