产时超声辅助自由体位待产对胎方位不正产妇分娩结局及新生儿结局的影响  

Effects of intrapartum ultrasound supplemented with free position for delivery on delivery outcomes and neonatal outcomes in puerperae with abnormal fetal position

作　　者：邓洁 游兴文 杨松露 李金铭 杨敏[1] Deng Jie;You Xing-wen;Yang Song-lu;Li Jin-ming;Yang Min(Department of Obstetrics,Puyang Oilfield General Hospital,Puyang 457001,Henan,China)

机构地区：[1]濮阳市油田总医院产科,河南濮阳457001

出　　处：《四川生理科学杂志》2023年第1期18-21,共4页Sichuan Journal of Physiological Sciences

基　　金：濮阳市科技计划项目(编号:1805036)。

摘　　要：目的:观察产时超声辅助自由体位待产对胎方位不正产妇分娩结局及新生儿结局的影响。方法:选取2020年10月至2021年12月期间在我院待产的128例胎方位不正产妇为研究对象,随机分为研究组和对照组(n=64)。对照组常规助产,采取传统平卧位或半卧位待产;研究组除行常规助产外,利用产时超声辅助自由体位待产。对比两组产妇第一、第二、第三产程时长、胎方位纠正率、手转胎头率、产后出血量、产妇分娩结局以及新生儿结局。结果:观察分析发现,研究组产程时长较对照组明显更短(P<0.05);研究组胎方位纠正率较对照组更高(P<0.05);研究组手转胎头率较对照组更低(P<0.05);研究组产后出血量与对照组相比无显著差异(P>0.05);在产妇分娩结局中,研究组产妇剖宫产率显著低于对照组(P<0.05),但两组产妇会阴侧切率无显著差异(P>0.05);在新生儿结局中,研究组新生儿窒息以及产伤率显著低于对照组(P<0.05)。结论:产时超声辅助自由体位待产可改善胎方位不正产妇分娩结局,有利于胎方位尽快纠正,促进自然分娩,避免新生儿窒息及产伤率等不良事件,全面提升分娩质量。Objective:To observe the effects of intrapartum ultrasound supplemented with free position for delivery on the delivery outcomes and neonatal outcomes in puerperae with abnormal fetal position.Methods:A total of 128 puerperae with abnormal fetal position who were expecting to give birth in the hospital from October 2020 to December 2021 were selected as the research subjects,and randomly divided into the study group and the control group(n=64).The control group was given routine midwifery,with traditional supine or semi-recumbent position for delivery,and the study group adopted intrapartum ultrasound supplemented with free position for delivery in addition to routine midwifery.The durations of the first,second and third stages of labor,fetal position correction rate,rate of manual rotation of fetal head,postpartum hemorrhage,maternal delivery outcomes and neonatal outcomes were compared between the two groups.Results:Our data indicated that the duration of labor in the study group was significantly shorter than that in the control group(P<0.05).The correction rate of fetal position in the study group was higher than that in the control group(P<0.05),while the rate of manual rotation of fetal head was lower than that in the control group(P<0.05).There was no significant difference in the postpartum hemorrhage between the study group and the control group(P>0.05).According to maternal delivery outcomes,the cesarean section rate of the study group was significantly lower than that of the control group(P<0.05),but there was no significant difference in episiotomy rate between the two groups(P>0.05).In terms of neonatal outcomes,the neonatal asphyxia rate and birth injury rate were significantly lower in the study group than the control group(P<0.05).Conclusion:Intrapartum ultrasound supplemented with free position for delivery can improve the delivery outcomes of puerperae with abnormal fetal position,and it is beneficial to correcting fetal position as soon as possible,promoting natural delivery,avoiding adverse ev

关 键 词：产时超声 自由体位待产 胎方位不正 分娩结局 

分 类 号：R473.71[医药卫生—护理学]