自由体位分娩对产妇产痛、母婴结局及盆底肌功能的影响  

Effects of Free Position Delivery on Maternal Labor Pain, Maternal and Infant Outcome and Pelvic Floor Muscle Function

作　　者：余雪青 YU Xueqing(Department of Obstetrics,Shenzhen Hospital,Southern Medical University,Shenzhen,Guangdong 518100)

机构地区：[1]南方医科大学深圳医院产科,广东深圳518100

出　　处：《智慧健康》2022年第11期87-89,共3页Smart Healthcare

摘　　要：目的 探究产妇接受自由体位分娩对其产痛、母婴结局及盆底肌功能的影响。方法 共纳入分娩产妇196例,均为单胎足月分娩,研究时间为2021年1月-2021年9月,按照数字表法随机分为对照组(98例)与观察组(98例),对照组为坐式分娩,观察组为自由体位分娩,比较两组中转剖宫产率、各产程时间、出血量、产痛评分、分娩控制感评分、盆底肌功能情况与妊娠不良结局。结果 观察组中转剖宫产率低于对照组,差异有统计学意义(P <0.05);观察组第一产程、第二产程与总产程时间分别为(476.56±60.46)min、(43.62±5.32)min、(536.26±37.56)min均短于对照组的(516.32±63.26)min、(52.53±5.22)min、(582.63±42.32)min,差异有统计学意义(P <0.05);观察组的出血量、产痛评分与妊娠不良结局率分别为(179.55±26.54)mL、(2.77±0.46)分、5.10%低于对照组(196.53±25.62)mL、(3.49±0.65)分、18.37%,差异有统计学意义(P <0.05);观察组分娩控制感评分为(175.65±16.22)分高于对照组(122.52±16.32)分,差异有统计学意义(P <0.05);观察组盆底肌功能情况优于对照组,但两组比较无差异意义(P>0.05)。结论采用自由体位分娩可有效减少中转剖宫产率,缩短产妇产程,减少出血量,显著提高分娩控制感,减轻疼痛,有效避免发生不良妊娠结局,值得推广。Objective To explore the effects of free body position delivery on labor pain, maternal and infant outcome and pelvic floor muscle function. Methods A total of 196 parturients were included. All of them were single term delivery. The starting time was January 2021 and the ending time was September 2021, According to the number table method, they were randomly divided into control group(98 cases) and observation group(98 cases), the control group was sitting delivery and the observation group was free body delivery. The conversion rate of cesarean section, time of each stage of labor, amount of bleeding, labor pain score, sense of delivery control score, pelvic floor muscle function and adverse pregnancy outcomes were compared between the two groups. Results The conversion rate of cesarean section in the observation group was lower than that in the control group, the difference was statistically signifcant(P<0.05);the time of the first stage of labor, the second stage of labor and the total stage of labor in the observation group were(476.56±60.46) min,(43.62±5.32) min and(536.26±37.56) min respectively, which were shorter than(516.32±63.26) min,(52.53±5.22) min and(582.63±42.32) min in the control group(P <0.05);the amount of bleeding, labor pain score and adverse pregnancy outcome rate in the observation group were(179.55±26.54)mL,(2.77±0.46) and 5.10% respectively, which were lower than those in the control group(196.53±25.62)mL,(3.49±0.65) and 18.37%, the difference was statistically signifcant(P<0.05);the score of sense of delivery control in the observation group was(175.65±16.22) higher than that in the control group(122.52±16.32), the difference was statistically signifcant(P<0.05);the function of pelvic floor muscle in the observation group was better than that in the control group, but there was no signifcant difference between the two groups.Conclusion Free body delivery can effectively reduce the rate of conversion to cesarean section, shorten the labor process, reduce the amount of bleedin

关 键 词：自由体位分娩 坐式分娩 产妇 产痛 母婴结局 盆底肌功能 

分 类 号：R714.3[医药卫生—妇产科学]