改良式助产手法在低危初产妇自然分娩中的效果观察  

Effect of modified midwifery in natural childbirth of low risk primipara

作　　者：周丹[1] Zhou Dan(Delivery Room,the Maternal and Child Health Care Hospital of Zhoushan,Zhoushan,Zhejiang 316000,China)

机构地区：[1]浙江省舟山市妇幼保健院外科大楼七楼分娩室,316000

出　　处：《中国基层医药》2019年第7期790-793,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省医药卫生科技计划项目(2015A03).

摘　　要：目的观察改良式助产手法应用在低危初产妇自然分娩中的效果,为分娩质量持续改进提供技术支持。方法选择2015年6月至2017年9月在舟山市妇幼保健院行自然分娩的低危初产妇120例为研究对象,采用电脑随机编码的方式分成两组,每组60例。对照组采取传统助产手法,观察组采取改良式助产手法。比较两组会阴切开率、会阴裂伤程度分级、母婴状况以及会阴切开与未切开产妇的出血总量、第二产程用时。结果观察组会阴切开率(53.33%)更低,会阴未裂伤率(76.67%)更高,各不良事件发生率均低于对照组(均P<0.05)。会阴未切开产妇的出血总量[(151.05±64.59)mL]更少,第二产程用时[(24.63±19.58)min]更短,差异均有统计学意义(t=2.21、4.32,均P<0.05)。结论改良式助产手法应用在低危初产妇自然分娩中,可保护会阴完好性,改善妊娠结局,效果理想。Objective To observe the application effect of modified midwifery technique in natural childbirth of low-risk primipara, thus to provide technical support for the delivery of continuous quality improvement. Methods From June 2015 to September 2017, 120 low-risk primipara with natural childbirth in the Maternal and Child Health Care Hospital of Zhoushan were selected and randomly divided into two groups by computer random coding method, with 60 cases in each group. The control group received traditional midwifery technique, and the observation group adopted improved midwifery technique. The perineum incision rate, perineal laceration classification, the condition of maternal and infant, and perineum incision and not cut maternal bleeding amount, the second available labor of the two groups were compared. Results The incision rate was lower in the observation group(53.33%), and the rate of non-split wound was higher(76.67%), and the incidences of adverse events in the observation group were lower than that in the control group(all P<0.05). The total amount of bleeding in the observation group was less [(151.05±64.59)mL], and the second labor time was shorter[(24.63±19.58)min] than those in the control group (t=2.21, 4.32, all P<0.05). Conclusion Application of improved midwifery in natural delivery of low-risk primipara is effective.

关 键 词：自然分娩 助产士 改良式助产手法 初产妇 出血 产程 第二 

分 类 号：R473.71[医药卫生—护理学]