新生儿早期基本保健技术对阴道分娩产妇分娩质量的影响  

Effect of early essential newborn care on delivery quality of vaginal delivery

作　　者：梅岳 李夏芸 廖鸣慧 匡晓妮[4] 张蓟[5] 蔡素霞[6] 徐韬[1] MEI Yue;LI Xiayun;LIAO Minghui;KUANG Xiaoni;ZHANG Ji;CAI Suxia;XU Tao(National Center for Women and Children′s Health,Chinese Center for Disease Control and Prevention,Beijing 100081,China;Department of Child Health,Beijing Fengtai District Maternal and Child Health Hospital,Beijing 100068,China;Department of Project,Hunan Provincial Maternal and Child Health Care,Hunan Changsha 410000,China;Department of Nursing,Changsha Hospital for Maternal and Child Health Care,Hunan Changsha 410007,China;Department of Child Health,Zhengzhou Hospital for Maternal and Child Health Care,Henan Zhengzhou 450000,China;Department of Obstetrics,Luoyang Maternal and Child Health Care Center,Henan Luoyang 471000,China)

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100081 [2]北京市丰台区妇幼保健院儿保部,北京100068 [3]湖南省妇幼保健院项目部,湖南长沙410000 [4]长沙市妇幼保健院护理部,湖南长沙410007 [5]郑州市妇幼保健院儿保部,河南郑州450000 [6]洛阳市妇女儿童医疗保健中心产科,河南洛阳471000

出　　处：《中国妇幼健康研究》2022年第10期45-48,共4页Chinese Journal of Woman and Child Health Research

基　　金：国际救助儿童会(英国)北京代表处新生儿基础保健项目(34400084)。

摘　　要：目的评价新生儿早期基本保健(EENC)技术对经阴道分娩产妇分娩质量的影响,为推广该适宜技术提供理论依据。方法采用类实验流行病学研究设计,选取湖南省和河南省各8所妇幼保健院共1125例产妇,随机确定4所为干预组(n=511)、4所为对照组(n=614)。干预组行EENC技术,对照组行常规操作,比较两组产妇的产后会阴情况、产时出血量及产程时间,评价EENC对分娩质量的影响。结果干预组产妇会阴切开率低于对照组,会阴完整情况好于对照组,差异有统计学意义(χ^(2)=79.763,P<0.05);干预组产时出血量低于对照组,差异有统计学意义(Z=-2.420,P<0.05);干预组第一、二产程时间短于对照组,第三产程长于对照组,差异有统计学意义(Z值分别为-4.587、-4.352、-4.243,P<0.05)。结论EENC技术有利于保护产妇会阴情况、降低产时出血量、缩短产程,减少产妇的分娩并发症,提高分娩质量。Objective To evaluate the effect of early essential newborn care(EENC)on the delivery quality of vaginal delivery women,and to provide the theoretical basis for promoting the appropriate technology.Methods Using aquasi-experimental epidemiological study design,a total of 1125parturients were selected from maternal and child health care hospitals in Hunan and Henan provinces,with 8hospitals in each province.In each province,4hospitals were randomly selected as the intervention group(n=511)and 4hospitals as the control group(n=614).The intervention group was given EENC technique,while the control group was given routine operation.Postpartum perineal conditions,intrapartum hemorrhage and labor time between the two groups were compared,and the effect of EENC on delivery quality was evaluated.Results The rate of perineal incision in the intervention group was lower than that of the control group,and the perineum integrity was better than that of the control group,and the difference was statistically significant(χ^(2)=79.763,P<0.05).The amount of bleeding during labor in the intervention group was lower than that of the control group(Z=-2.420,P<0.05).The first and second stages of labor in the intervention group were shorter than those in the control group,and the third stage of labor was longer than that in the control group(Zvalues were-4.587,-4.352,-4.243,respectively,P<0.05).Conclusion EENC is beneficial to protect perineum of the parturient,reduce the amount of intrapartum hemorrhage,shorten the duration of labor,and improve the quality of delivery.

关 键 词：新生儿 基本保健 阴道分娩 分娩质量 

分 类 号：R174[医药卫生—妇幼卫生保健]