无痛分娩与传统阴道分娩对初产产妇母婴结局、母乳喂养情况的影响观察  

Effects of painless laborand traditional vaginal delivery on maternal-infant outcomes and breastfeeding of primiparae

作　　者：曾夷[1] 李艳梅[1] 罗家芳[1] 赖国清[1] 张蕾[1] 陈慧燕 Zeng Yi;Li Yanmei;Luo Jiafang;Lai Guoqing;Zhang Lei;Chen Huiyan(Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣南医学院第三附属医院妇产科,江西赣州341000

出　　处：《当代医学》2018年第21期36-38,共3页Contemporary Medicine

摘　　要：目的比较分析无痛分娩与传统阴道分娩对初产产妇母婴结局、母乳喂养情况的影响,为无痛分娩临床应用提供理论依据。方法根据分娩方式不同,将60例初产妇分为无痛组(腰硬膜外联合镇痛下阴道分娩)和传统组(常规阴道分娩),比较两组分娩结局。结果比较发现,无痛组第1、2产程及总产程时间明显少于传统组(P<0.05);两组转剖宫产率分别为2.94%和19.23%(P<0.05),镇痛满意率分别为88.24%和61.54%(P<0.05),且无痛组产妇产后出血量更少(P<0.05),新生儿Apgar评分更高(P<0.05);分娩后,无痛组始动泌乳时间更短(P<0.05),单纯母乳喂养和哺乳自行完成比例更高(P<0.05)。结论与传统引导分娩相比,无痛分娩能显著降低分娩时疼痛,有利于初产妇身心健康,从而能缩短产程,改善母婴结局和母乳喂养情况。Objective To compare and analyze the effects of painless labor and traditional vaginal delivery on maternal-infant outcomes and breastfeeding of primiparae,and provide theoretical basis forpainless laborin clinical application.Methods According to the different modes of delivery,60 cases of primiparae were divided into painless group(vaginal delivery under combined spinal-epidural analgesia)and traditional group(conventional vaginal delivery).The delivery outcomes were compared between the two groups.Results The times of first stage of labor,second stage of labor and total labor in painless group were shorter than those in traditional group(P<0.05).The rates of cesarean section in the two groups were 2.94%and 19.23%respectively,and the satisfaction rates of analgesia were 88.24%and 61.54%respectively(P<0.05),and the postpartum hemorrhage amountwas less(P<0.05)and neonatal Apgar score was higherinpainless group(P<0.05).After delivery,the initial time of lactation wasshorter(P<0.05)and the proportions of exclusive breastfeeding and self-completed lactation were higherin painless group(P<0.05).Conclusion Compared with traditional guided delivery,painless labor can significantly reduce the pain at delivery,and it is beneficial to the physical and mental health of primiparae,and it can shorten the stages of labor,and improve the maternal-infant outcomes and breastfeeding.

关 键 词：无痛分娩 传统阴道分娩 母婴结局 母乳喂养 

分 类 号：R714.3[医药卫生—妇产科学]