瘢痕子宫再次分娩阴道试产孕妇采用自由体位干预对新生儿结局的影响  

Effect of free postural intervention on neonatal outcomes in pregnant women undergoing vaginal trial labor with cicatricial uterus

作　　者：陈继安 姚丽娟 蔡彩霞 邱淑容 CHEN Ji'an;YAO Lijuan;CAI Caixia;QIU Shurong(Department of Gynecology and Pediatrics,Putian Medical District,the 900th Hospital of the Joint Logistics Support Force,Fujian Province,Putian351100,China)

机构地区：[1]联勤保障部队第九〇〇医院莆田医疗区妇儿科,福建莆田351100

出　　处：《中国当代医药》2022年第36期114-116,120,共4页China Modern Medicine

摘　　要：目的 探究瘢痕子宫再次分娩阴道试产孕妇采用自由体位干预对新生儿结局的影响。方法 选取2018年9月至2019年11月联勤保障部队第九〇〇医院莆田医疗区妇儿科收治的108例瘢痕子宫再次分娩试产孕妇作为研究对象,采用随机数字表法分为研究组(n=54)和对照组(n=54)。研究组采用自由体位分娩,对照组采用传统体位分娩。比较两组孕妇的分娩结局、经阴道分娩孕妇的产程、新生儿体重、新生儿Apgar评分及不良新生儿结局。结果 研究组的产钳助产率、中转剖宫产率低于对照组,经阴道分娩率高于对照组,差异有统计学意义(P<0.05);研究组经阴道分娩孕妇第一、第二、第三产程短于对照组,差异有统计学意义(P<0.05);两组的新生儿出生体重比较,差异无统计学意义(P>0.05);研究组的新生儿Apgar评分高于对照组,不良新生儿结局总发生率低于对照组,差异有统计学意义(P<0.05)。结论 瘢痕子宫再次分娩阴道试产孕妇采用自由体位干预可帮助缩短产程,减少不良新生儿结局发生风险。Objective To observe the effect of free body position intervention on neonatal outcome in trial delivery of scar uterus. Methods A total of 108 pregnant women with scar uterus who were treated in the Department of Gynecology and Pediatrics of Putian Medical District of the 900thHospital of the Joint Logistics Support Force from September 2018 to November 2019 were selected as the research objects. They were divided into the study group(n=54) and the control group(n=54) by random number table method. The pregnant women in the study group delivered in free position and the pregnant women in the control group delivered in traditional position. The labor outcomes, labor duration, neonatal weight, neonatal Apgar score and adverse neonatal outcomes were compared between the two groups. Results The rate of forceps assisted delivery and the rate of cesarean section in the study group were lower than those in the control group, the rate of vaginal delivery was higher than that in the control group, the differences were statistically significant(P<0.05). The 1st, 2ed, 3thstage of labor in the study group were shorter than those in the control group, and the differences were statistically significant(P<0.05). There was no significant difference in birth weight between the two groups(P>0.05). The Apgar score of the study group was higher than that of the control group, and the total incidence of adverse neonatal outcomes was lower than that of the control group, the differences were statistically significant(P<0.05). Conclusion Free body position is very safe for pregnant women with scar uterus. It has good feasibility and safety. It can not only reduce the rate of cesarean section and shorten the labor process, but also ensure the safety of newborns. It has high popularization and application value.

关 键 词：瘢痕子宫 再次分娩 阴道试产 自由体位 新生儿结局 

分 类 号：R714.4[医药卫生—妇产科学]