自由体位分娩模式对持续性枕横位产妇分娩结局及新生儿的影响  

The Effect of Free Position Delivery Mode on Delivery Outcome and Newborn of Puerpera with Persistent Occipito Transverse Position

作　　者：梁润容 吴小麦[1] 梁小源 冯银艳 LIANG Runrong;WU Xiaomai;LIANG Xiaoyuan;FENG Yinyan(Jiangmen Maternal and Child Health Hospital,Guangdong Province,Jiangmen 529000,China;不详)

机构地区：[1]广东省江门市妇幼保健院,广东江门529000

出　　处：《中国医学创新》2022年第6期171-175,共5页Medical Innovation of China

基　　金：江门市卫生健康局项目(20A020)。

摘　　要：目的:探讨自由体位分娩模式对持续性枕横位产妇分娩结局及新生儿的影响。方法:选取2020年4月-2021年3月在江门市妇幼保健院经阴道分娩的200例枕横位产妇为研究对象,按照随机数字表法分为对照组(n=100)和观察组(n=100)。对照组产妇采用产科常规管理方式分娩,观察组根据产妇产程实际情况实施自由体位分娩模式。比较两组分娩结局、产程时间以及不良母婴结局的发生情况,并采用Kolcaba的舒适状况量表(GCQ)评估两组产程舒适度。结果:观察组阴道自然分娩率71.0%高于对照组的53.0%,中转剖宫产率7.0%低于对照组的22.0%,差异均有统计学意义(P<0.05)。观察组第一产程时间为(10.05±0.92) h、第二产程时间为(0.79±0.26) h以及总产程时间为(10.87±1.04) h,分别短于对照组的(11.56±1.34) h、(1.31±0.49) h以及(12.94±1.28) h,差异均有统计学意义(P<0.05)。观察组产程舒适度评分为(77.68±9.25)分,高于对照组的(62.49±7.37)分,差异有统计学意义(P<0.05)。观察组产妇产后出血、会阴损伤、会阴侧切的发生率分别为1.0%、42.0%及13.0%,分别低于对照组的7.0%、57.0%及29.0%,且娩出新生儿轻度窒息发生率6.0%低于对照组的15.0%,差异均有统计学意义(P<0.05)。结论:对持续性枕横位产妇实施自由体位分娩模式有利于促进自然分娩,缩短产程时间,减少不良母婴结局的发生。Objective:To explore the effect of free position delivery mode on delivery outcome and newborn of puerpera with persistent occipito transverse position.Method:A total of 200 cases of occipital transverse puerpera in Jiangmen Maternal and Child Health Hospital from April 2020 to March 2021 were selected as the research objects,they were divided into control group (n=100) and observation group (n=100) according to the random number table method.The control group was given routine obstetric management,while the observation group was given free position delivery mode according to the actual situation of labor process.The delivery outcomes,labor duration and adverse maternal and infant outcomes were compared between the two groups,and the comfort degree of the two groups was evaluated by GCQ.Result:The vaginal natural delivery rate of the observation group was 71.0%,higher than 53.0% of the control group,and the rate of conversion to cesarean section was 7.0%,lower than 22.0% of the control group,the differences were statistically significant (P<0.05).The time of the first stage of labor was (10.05±0.92) h,the second stage of labor was (0.79±0.26) h and the total stage of labor was (10.87±1.04) hin the observation group,which were shorter than (11.56±1.34),(1.31±0.49) and (12.94±1.28) h in the control group,the differences were statistically significant (P<0.05).The score of labor comfort in the observation group was (77.68±9.25),which was higher than (62.49±7.37) in the control group,the difference was statistically significant (P<0.05).The incidence of postpartum hemorrhage,perineal injury and lateral episiotomy in the observation group were 1.0%,42.0% and 13.0% respectively,which were lower than 7.0%,57.0% and 29.0% in the control group,and the incidence of mild asphyxia of newborns was 6.0% lower than 15.0% in the control group,the differences were statistically significant (P<0.05).Conclusion:The implementation of free position delivery mode for puerpera with persistent occipital transverse position is co

关 键 词：自由体位 分娩 持续性枕横位 产妇 新生儿窒息 

分 类 号：R714.3[医药卫生—妇产科学]