自由体位对枕后位和枕横位产妇产程及妊娠结局的影响  

The influence of free posture on the delivery process and pregnancy outcome of the occiput posterior position and the occiputtrans verseposition

作　　者：张秀华 唐晓英 卢萍 宋梅 

机构地区：[1]南充市中心医院产科

出　　处：《当代临床医刊》2019年第4期301-302,306,共3页Journal of Contemporary Clinical Medicine

基　　金：南充市十三五课题项目编码（NC16B017）题目：川东北地区剖宫产再孕妇女分娩方式的选择对助产士岗位需求影响研究

摘　　要：目的探讨自由体位对枕后位和枕横位产妇产程及妊娠结局的影响。方法选取我院2016年4月至2017年2月92例枕后位和枕横位产妇,按照就诊顺序分为观察组与对照组,对照组在分娩时取截石位,观察组则取自由体位,对比两组产程及分娩结局。结果观察组第一、第二产程时间、总产程与对照组比较明显减少(P<0.05);观察组自然分娩率明显高于对照组,阴道手术产及剖宫产率明显低于对照组(P<0.05);观察组产程异常发生率明显低于对照组,其中造成产程异常的因素中胎儿过大、宫缩乏力差异较为明显(P<0.05);观察组产后出血发生率明显低于对照组,观察组新生儿窒息发生率低于对照组(P<0.05);观察组孕产妇满意度明显高于对照组(P<0.05)。结论自由体位对枕后位和枕横位产妇分娩可缩短产程,促进自然分娩,预防母婴并发症,提高孕产妇满意度,值得临床推广使用。Objective To investigate the influence of free posture on the delivery process and pregnancy outcome of the occiput posterior position and the occiput transverse position.Methods in our hospital from April 2016-2017 year in February 92 cases of occiput posterior position and occiput transverse position were randomly divided into observation group and control group,the control group at the time of delivery to the lithotomy position,the observation group received free position,comparing the two groups of birth process and the outcome of pregnancy.Results in the observation group,the first and second labor time were significantly reduced compared with the control group(P<0.05);the observation group total labor decreased significantly compared with control group(P<0.05);the observation group and natural birth rate was significantly higher than the control group,the vaginal operation production+cesarean section rate was significantly lower than the control group(P<0.05);the observation group abnormal incidence was significantly lower than the control group,factors which cause abnormal labor in the fetus is too large,uterine atony obvious difference was observed in the >500 ml group(P<0.05);the incidence rate of postpartum hemorrhage was significantly lower than the control group,the observation group of neonatal asphyxia incidence rate lower than the control group(P<0.05);the observation group maternal satisfaction was significantly higher than the control the control group(P<0.05).Conclusion the free position on occipitoposterior and occipitotransverse delivery has obvious effect,can significantly shorten the production process,to promote natural childbirth,prevention of maternal complications and improve maternal satisfaction,it is worthy of clinical use.

关 键 词：枕后位 枕横位 产妇 自由体位 产程 妊娠结局 

分 类 号：R714.44[医药卫生—妇产科学]