自由体位联合减痛法在初产顺产产妇分娩中的应用  

Application of free position delivery and childbirth reduction in maternal primipara and maternal and child outcomes

作　　者：冯少谭[1] 黎燕云[1] 陈颖诗[1] Feng Shaotan;Li Yanyun;Chen Yingshi(Dongguan People＇s Hospital,Guangdong 523000 China)

机构地区：[1]东莞市人民医院

出　　处：《全科护理》2018年第30期3721-3724,共4页Chinese General Practice Nursing

摘　　要：[目的]探讨自由体位联合减痛法在初产顺产产妇分娩中的应用效果及对母婴结局的影响。[方法]选择本院产科接收的120例初产顺产产妇,按照随机数字表法将120例产妇分为两组,对照组60例采取自由体位分娩,观察组60例在自由体位基础上采取减痛法,比较两组产妇产程、阴道自然分娩率、剖宫产率、出血情况、会阴侧切率、产后并发症发生率、产时疼痛评分,并比较两组新生儿Apgar评分。[结果]观察组第一产程、第二产程、第三产程均短于对照组,差异有统计学意义。观察组阴道自然分娩率为96.67%,剖宫产率为3.33%,对照组阴道自然分娩率为91.67%,剖宫产率为8.33%,组间比较无统计学意义(P>0.05)。观察组产时出血量、产后2h出血量、产后24h出血量均少于对照组,差异有统计学意义(P<0.05)。观察组产后并发症总发生率低于对照组(P<0.05),其会阴侧切率与对照组比较无统计学意义(P>0.05)。观察组产时疼痛评分低于对照组(P<0.05)。新生儿出生后1min、5min Apgar评分比较,观察组均高于对照组(P<0.05)。[结论]在初产顺产产妇分娩时采取自由体位联合分娩减痛法辅助分娩可有效减轻分娩疼痛、促进产程进展、减少产后并发症和出血量,还可保证新生儿出生时的机体状况,有利于改善母婴结局。To explore the effect of free body position and childbirth combined with labor and pain reduction in primipara maternal delivery and its effect on maternal and child outcomes. Methods： 120 cases of primiparas were received from the obstetrics department of the hospital. 120 women were randomly divided into two groups according to the random number table method. GO pa- tients in the control group were given free body delivery,and 60 patients in the observation group were given childbirth on the basis of free position delivery. The pain reduction method was used to compare the labor time of the two groups, the final vaginal delivery rate,the final cesarean section rate, the bleeding, the perineal cut rate, the postpartum complication rate, the postpartum pain score, and compare the Apgar of the two groups of newborns, score. Results：The first labor time, the second labor time, and the third labor time of the observation group were shorter than the control group, and the difference was statistically significant. The final vaginal natural delivery rate was 96.67% in the observation group,and the final cesarean section rate was 3.33%. The final vaginal natural delivery rate in the control group was 91. 67% ,and the final cesarean section rate was 8.33%. There was no statistically significant difference between the groups（P〉0.05）. The amount of bleeding in the observation group, the amount of bleeding at 2 h after deliv- ery, and the amount of bleeding at 24 h postpartum were lower than those in the control group, and the difference was statistically sig- nificant（P〈0.05）. The total incidence of postpartum complications in the observation group was lower than that in the control group （P〈0.05） ,and the perineal cut rate was not significantly different from the control group（P〉0. 05 ）. The pain score of the observa- tion group was lower than that of the control group（P〈0.05）. The Apgar scores at 1 min and 5 rain after birth were higher in the observation group than in the control group�

关 键 词：初产顺产产妇 分娩 自由体位分娩 分娩减痛法 

分 类 号：R473.71[医药卫生—护理学]