无保护会阴接生技术对初产妇母婴并发症、会阴保护及产后疼痛的影响分析  

Analysis on the Effect of Unprotected Perineal Delivery Technology on Maternal and Child Complications,Perineal Protection and Postpartum Pain in Primipara

作　　者：胡雪芬 张丽兴[1] 张春燕[1] 文飘 HU Xue-fen;ZHANG Li-xing;ZHANG Chun-yan(Chang’an Hospital,Dongguan,Guangdong,523843,China)

机构地区：[1]东莞市长安医院

出　　处：《中国初级卫生保健》2019年第12期47-48,77,共3页Chinese Primary Health Care

摘　　要：目的探讨无保护会阴接生技术对初产妇母婴并发症、会阴保护及产后疼痛的影响。方法选取50例初产妇作为研究对象,研究时间为2018年6-12月,按照随机抽签方法分为两组,各25例,对照组给予传统经阴道分娩方法,观察组给予无保护会阴接生技术,且对两组孕产妇的会阴裂伤程度、会阴疼痛程度、产后出血量、第二产程时间及住院时间、母婴并发症发生率进行观察和评估。结果观察组会阴完整所占比例高于对照组,而会阴Ⅰ度、Ⅱ度裂伤所占比例和会阴合并水肿所占比例低于对照组(P>0.05)。观察组0级、Ⅰ级会阴疼痛所占比例高于对照组,而Ⅱ级、Ⅲ级会阴疼痛所占比例低于对照组(P<0.05)。观察组与对照组的产后出血量、第二产程时间相比,无明显差异(P>0.05);观察组的住院时间均低于对照组(P<0.05);观察组母婴并发症发生率低于对照组(P<0.05)。结论无保护会阴接生技术应用于初产妇中具有较高的临床价值,有利于降低母婴并发症发生率及保护会阴,值得应用及推广。OBJECTIVE To investigate the effects of unprotected perineal delivery technology on maternal and child complications,perineal protection and postpartum pain in primipara. METHODS 50 primipara patients were selected as study subjects from June 2018 to December 2018 and divided into two groups according to random sampling method. The control group was given traditional vaginal delivery method. The observation group was given unprotected perineal delivery. The technique was performed in 25 cases,and the degree of perineal laceration,the degree of perinealpain,the amount of postpartum hemorrhage,the time of second labor,the length ofhospital stay,and the incidence of maternal and child complications were observed and evaluated.RESULTS The proportion of perineal integrity in the observation groupwas higher than the control group,while the proportion of perineal I degree and II degree laceration and the proportion of perineal edema were lower than the control group,P<0.05. The proportion of perineal pain in grade 0 and grade I of the observation group was higher than that of the control group,while the proportion of perineal pain in grade II and III was lower than the control group,P<0.05. There was no significant difference between the observation group and the control group in the amount of postpartum hemorrhage and the second stage of labor(P>0.05). The hospitalization time of the observation group was lower than the control group,P<0.05.The incidence of maternal and child complications in the observation group was lower than the control group,P<0.05. CONCLUSION Unprotected perineal delivery technology had high clinical value in primipara,which was beneficial to reduce the incidence of maternal and child complications and protect the perineum. It was worthy of application and promotion.

关 键 词：无保护会阴接生技术 初产妇 母婴并发症 疼痛 

分 类 号：R1-9[医药卫生—公共卫生与预防医学]