前倾位体位训练对孕晚期低危初产妇分娩结局和临产时胎方位的影响  

Effect of anteversion position training on delivery outcome and fetal position of low risk primiparas in late pregnancy

作　　者：吴文丽[1] 刘柯伶[1] Wu Wenli;Liu Keling(Delivery room,people's hospital of Bao'an district,Shenzhen,Guangdong,518100,China)

机构地区：[1]深圳市宝安区人民医院产房,广东深圳518100

出　　处：《齐齐哈尔医学院学报》2021年第19期1741-1744,共4页Journal of Qiqihar Medical University

摘　　要：目的探讨前倾位体位训练对孕晚期低危初产妇分娩结局和临产时胎方位的影响。方法选择2018年6月—2020年6月本院收治的100例孕晚期低危初产妇作为研究对象,采用随机数表法分为对照组和研究组两组,每组各50例。对照组进行常规干预,研究组在对照组的基础上给予前倾体位训练。对比两组的产程时间、分娩结局、临产时胎方位情况。结果研究组的第一产程(523.18±46.58)min、第二产程时间分别为(43.15±25.29)min,均短于对照组的(616.35±42.73)min和(58.87±25.03)min,差异均有统计学意义(t=10.423、3.124,P<0.05)。研究组的阴道顺产率(82.00%)高于对照组(64.00%),差异有统计学意义(χ^(2)=4.109,P<0.05),研究组的枕前位例数(39例)高于对照组(29例),枕后位例数(3例)低于对照组(10例),差异均有统计学意义(χ^(2)=4.595、4.332,P<0.05)。结论前倾位体位训练能够提高孕晚期低危初产妇的分娩结局,缩短产程,有利于临产时正常胎方位的形成。Objective To study the effect of anteversion position training on the delivery outcome and fetal position of low-risk primiparas in the third trimester of pregnancy.Methods 100 cases of low-risk primipara in the third trimester of pregnancy those were admitted to our hospital from June 2018 to June 2020 were selected and they were randomly divided into control group and study group,with 50 cases in each group.The control group was given routine intervention,and the study group was given anteversion position training on the basis of the control group.The time of labor,delivery outcome and fetal position were compared between the two groups.Results The first and second stage of labor in the study group were(523.18±46.58)min and(43.15±25.29)min,respectively,which were both shorter than(616.35±42.73)min and(58.87±25.03)min in the control group,and the differences were statistically significant(t=10.423、3.124,P<0.05).The vaginal delivery rate of the study group(82.00%)was higher than that(64.00%)of the control group(χ^(2)=4.109,P<0.05),The number of cases of anterior occipital position of the study group(39 cases)was higher than that of the control group(29 cases),and the number of cases of posterior occipital position of the study group(3 cases)was lower than that of the control group(10 cases)(χ^(2)=4.595,4.332,P<0.05).Conclusions Anteversion position training could improve the delivery outcome of low-risk primiparas in the third trimester of pregnancy,shorten the labor process,and is conducive to the formation of normal fetal position in labor.

关 键 词：前倾位体位训练 孕晚期低危初产妇 分娩结局 临产时胎方位 

分 类 号：R714.3[医药卫生—妇产科学]