阴道助产对剖宫产术后再妊娠女性分娩结局的影响  

Effects of vaginal assisted delivery on the delivery outcome of women with VBAC

作　　者：吕明[1] 刘庆妍 杨帆[1] LV Ming;LIU Qingyan;YANG Fan(Delivery Room,Jishuitan Hospital,Beijing 100096,China)

机构地区：[1]北京积水潭医院产房,100096

出　　处：《河北医药》2022年第12期1836-1839,共4页Hebei Medical Journal

摘　　要：目的观察剖宫产后阴道分娩(VBAC)产妇分娩情况,行阴道助产干预,分析该模式对分娩结局等影响。方法采用随机抽样法将2018年1月至2020年1月接受治疗的80例VBAC产妇分为对照组与研究组,分别给予常规助产和阴道助产,对比VBAC产妇产程情况、产痛情况、心理状况及分娩结局。结果对照组VBAC产妇第一产程时间[(8.70±2.89)min]、第二产程时间[(8.55±1.89)min]、总产程时间产程时间[(10.30±1.90)min],研究组VBAC产妇第一产程时间[(5.50±2.00)min]、第二产程时间[(7.30±1.50)min]、总产程时间产程时间[(8.50±2.00)min],组间对比差异有统计学意义(P<0.05);干预前2组VBAC产妇产痛情况评价差异对比不明显[(8.25±1.31)分VS(5.41±1.00)分],干预后,对照组VBAC产妇产痛情况评价(5.41±1.00)分,研究组VBAC产妇产痛情况(2.11±0.34)分,组间对比差异有统计学意义(P<0.05);干预前2组VBAC产妇SAS[(53.70±8.86)分VS(53.72±8.84)分],SDS[(54.88±2.60)分VS(54.85±2.62)分],组间对比差异无统计学意义(P>0.05),干预后对照组SAS[(45.65±2.87)分],SDS[(42.36±2.89)分],研究组SAS[(30.21±2.00)分],SDS[(30.00±1.87)分],组间对比差异有统计学意义(P<0.05);对照组新生儿窒息17.50%、胎儿宫内窘迫20.00%、产后出血27.50%、自然分娩70.00%,研究组新生儿窒息2.50%、胎儿宫内窘迫2.50%、产后出血2.50%、自然分娩100.00%,组间对比差异有统计学意义(P<0.05)。结论VBAC产妇接受阴道助产干预,可有效缩短产程时间,缓解产痛,减轻或者消除负性情绪给分娩带来的影响,改善分娩结局,该模式具有较高临床应用价值。Objective To investigate the effects of vaginal assisted delivery on the delivery outcome of pregnant women with vaginal birth after cesarean(VBAC).Methods Eighty pregnant women with VABC who were treated in our hospital from January 2018 to January 2020 were randomly divided into control group and resrach group.The patients in control group were treated by routine midwifery,however,those in research group were treated by vaginal midwifery.The labor process,labor pain,psychological status and delivery outcome were observed and compared between the two groups.Results There were significant differences in the first labor time,the second labor time and the total labor time between the two groups(P<0.05).Before intervention,there were no significant differences in the scores of maternal pain,SAS scores and SDS scores between the two groups(P>0.05).After intervention,there were significant differences in the scores of maternal pain,SAS scores and SDS scores between the two groups(P<0.05).Moreover there were significant differences in the incidence rates of neonatal asphyxia,fetal intrauterine distress and postpartum hemorrhage between the two groups(P<0.05).Conclusion The vaginal assisted delivery intervention for the pregnant women with VABC can effectively shorten the duration of labor,relieve labor pain,alleviate the effects of negative emotions on labor,and improve the delivery outcome,therefore,the model has higher clinical application value.

关 键 词：VBAC 产妇 阴道助产 分娩结局 

分 类 号：R717[医药卫生—妇产科学]