无保护接生法在足月初产妇分娩中的应用  

EFFECT OF UNPROTECTED DELIVERY METHOD IN EARLY-TERM DELIVERY

作　　者：程碧辉[1] 韩凌 黄中秋 张丽[1] 郑云霞 CHENG Bihui;HAN Ling;HUANG Zhongqiu;ZHANG Li;ZHENG Yunxia(The Third People's Hospital of Mianyang City,Mianyang 621000,China)

机构地区：[1]四川省绵阳市第三人民医院,621000

出　　处：《中国煤炭工业医学杂志》2021年第6期632-635,共4页Chinese Journal of Coal Industry Medicine

基　　金：四川省卫生和计划生育委员会科研课题(编号:18PJ185)。

摘　　要：目的分析无保护接生法在足月初产妇分娩中的应用效果。方法回顾性分析2018年10月—2020年4月四川省绵阳市第三人民医院收治的154例足月初产妇病例资料,根据接生方法不同分为对照组(传统保护接生法)和观察组(无保护接生法),比较2种接生方法第二产程时间、产后出血量、中转剖宫产率、住院时间、会阴情况及新生儿情况。结果观察组第二产程时间(0.78±0.14)h、住院时间(2.36±0.97)d短于对照组,产后2 h出血量(201.86±41.05)ml少于对照组,中转剖宫产率(7.79%)低于对照组(均P<0.05)。观察组会阴侧切率(15.58%)、会阴总裂伤率(14.29%)及会阴切口感染率(6.49%)均低于对照组,会阴完整率(70.13%)高于对照组(P<0.05)。二组会阴疼痛以0级和Ⅰ级疼痛为主,观察组会阴疼痛程度轻于对照组,差异有统计学意义(P<0.05)。观察组新生儿锁骨骨折率(1.30%)低于对照组,1min Apgar评分(9.34±1.24)分高于对照组,新生儿窒息率(0.00%)与对照组比较,差异无统计学意义(P>0.05)。结论无保护接生法可降低足月初产妇会阴侧切率,新生儿锁骨骨折率,提高会阴完整率,减轻会阴裂伤程度和会阴疼痛程度。Objective To analyze the effect of unprotected delivery in early term delivery.Methods One hundred fifty four cases of term primipara admitted in The Third People’s Hospital of Mianyang City, from October 2018 to April 2020,were divided into control group(traditional protective delivery method) and observation group(unprotected delivery method) according to different delivery methods’ s postpartum bleeding, rate of cesarean section, length of stay, perineum and newborn.Results The duration of the second stage of labor in the observation group was(0.78±0.14) h, the hospitalization time was(2.36±0.97) d shorter than that in the control group, and the blood loss at 2 h after delivery was(201.86±41.05) ml less than that in the control group.The rate of cesarean section(7.79%) was lower than that of control group(P<0.05).The rate of lateral perineal resection(15.58%),total laceration of perineum(14.29%) and infection rate of perineal incision(6.49%) in the observation group were lower than those in the control group.The complete rate of perineum(70.13%) was higher than that of the control group(P<0.05).The degree of perineum pain in the observation group was less than that in the control group(P<0.05).The clavicular fracture rate in the observation group(1.30%) was lower than that in the control group(1.30%),and the 1 min Apgar score(9.34±1.24) was higher than that in the control group(P>0.05).The neonatal asphyxia rate(0.00%) was not significantly different from that in the control group(P>0.05).Conclusion The method of unprotected delivery can reduce perineal lateral incision rate of term primipara, clavicle fracture rate of newborn, improve perineal integrity rate, reduce perineal laceration degree and perineal pain degree.

关 键 词：无保护接生法 传统保护接生法 会阴侧切率 会阴裂伤 会阴疼痛 

分 类 号：R714.1[医药卫生—妇产科学]