自由体位在阴道分娩中的应用效果  

Effect of Free Position Delivery in Vaginal Birth

作　　者：魏美娟 赵毫慢 王娜娜 WEI Meijuan;ZHAO Haoman;WANG Nana(The Fifth Affiliated Hospital of Southern Medical University,Guangzhou 510900,China)

机构地区：[1]南方医科大学第五附属医院,广东广州510900

出　　处：《中国医药指南》2020年第31期21-22,共2页Guide of China Medicine

基　　金：南方医科大学第五附属2018年度医院院长项目(YZ2018HL005)。

摘　　要：目的观察自由体位分娩在阴道产中应用的效果。方法选取自2018年5月至2019年5月在我院产房适宜阴道产的孕产妇1000例为观察对象,将研究对象采取随机数字表法分别纳入对照组和观察组。所有对照组产妇在分娩过程中接受传统体位待产方式,观察组产妇在分娩过程中,积极接受医护人员引导,由助产人员结合其具体需求与其真实反应制定合理的自由体位待产方式。若孕产妇无法采取自由体位,视为样本剔除。随后将两组数据进行分析,比较两组研究对象的分娩结局差异。结果观察组产妇顺产率为93.80%,显著高于对照组的78.60%,同时,器械助产率、中转剖宫产率分别为4.40%、1.80%,显著低于对照组(13.60%、7.80%)。观察组患者第三产程平均时间、产时出血量及产后2 h出血量分别(4.56±0.50)min、(104.25±6.48)mL、(78.98±3.35)mL,显著低于对照组的(7.21±0.88)min、(138.55±8.42)mL、(91.03±4.62)mL。另外,观察组胎儿胎心异常发生率、产妇会阴侧切率、新生儿窒息率分别为1.20%、2.20%、0.60%,显著低于对照组的7.60%、11.20%、5.20%,P<0.05,有统计学意义。结论自由体位分娩在阴道产中效果显著,可有效缩短产程,改善分娩结局,降低分娩风险。Objective To observe the effect of free position delivery in vaginal delivery.Methods From May 2018 to May 2019,1000 pregnant women in our hospital were selected as observation objects,and the subjects were included in the control group and the observation group by random digital table method.All control group parturients accepted the traditional position waiting for delivery during delivery.In the observation group,the parturient actively accepted the guidance of medical staff during delivery,and combined with their specific needs and their true reaction to formulate a reasonable free position waiting for delivery.If the pregnant woman cannot take free position,the sample is removed.Then the two groups of data were compared and analyzed,and the differences between the two groups were compared.Results The spontaneous delivery rate of the observation group was 93.80%,which was significantly higher than 78.60%of the control group.At the same time,the rate of instrumental delivery and conversion to cesarean section were 4.40%and 1.80%respectively,which were significantly lower than those of the control group(13.60%and 7.80%).The average time of the third stage of labor,the amount of bleeding during labor and 2 h postpartum hemorrhage in the observation group were(4.56±0.50)min,(104.25±6.48)mL,(78.98±3.35)mL,which were significantly lower than those of the control group[(7.21±0.88)min,(138.55±8.42)mL,(91.03±4.62)mL].In addition,the incidence of abnormal fetal heart rate,maternal perineum lateral cutting rate and neonatal asphyxia rate in the observation group were 1.20%,2.20%and 0.60%,which were significantly lower than 7.60%,11.20%and 5.20%of the control group,P<0.05,with statistical significance.Conclusion Free position delivery is effective in vaginal delivery,which can effectively shorten the labor process,improve the outcome of delivery and reduce the risk of delivery.

关 键 词：自由体位分娩 传统体位分娩 阴道产 新生儿窒息 

分 类 号：R714.3[医药卫生—妇产科学]