自由体位待产对足月胎膜早破胎头衔接产妇分娩结局的影响  

Effect of free posture on delivery outcome of parturients with premature rupture of membranes at term after fetal head connection

作　　者：陈熠明 陈桂儿 CHEN Yiming;CHEN Gui'er(Department of Obstetrics,Hangzhou Obstetrics and Gynecology Hospital,Hangzhou 310007,China)

机构地区：[1]杭州市妇产科医院产科,浙江杭州310007

出　　处：《全科医学临床与教育》2023年第8期715-717,739,共4页Clinical Education of General Practice

摘　　要：目的探究自由体位待产对足月胎膜早破胎头衔接孕产妇分娩结局的影响。方法将120例足月且头位已衔接的胎膜早破孕妇按入院后待产体位不同分为对照组(60例)和观察组(60例)。对照组采取卧位,待产过程中孕妇可左右翻身或侧卧。观察组采取自由体位待产。记录比较两组产妇自然分娩率、第二产程时间、产后出血量、新生儿1 min Apgar评分、产时导尿次数、产后尿潴留发生情况等。结果观察组自然分娩率、新生儿1 min Apgar评分高于对照组(χ^(2)=6.11,t=3.65,P均<0.05);第二产程时间、中转剖宫产率均明显低于对照组(t=6.64,χ^(2)=4.61,P均<0.05);观察组产妇产时导尿次数、保留导尿率、产后尿潴留发生率及产后出血量均低于对照组(t=7.41,χ^(2)分别=4.82、5.55,t=11.21,P均<0.05)。结论足月胎膜早破产妇胎头衔接后自由体位待产能促进自然分娩,缩短产程时间,降低产后尿潴留及产后出血发生风险,改善母婴结局。Objective To explore the effect of free posture on the delivery outcome of the pregnant women with premature rupture of membranes(PROM)at term.Methods Totally 120 full-term pregnant women with premature rupture of membranes(PROM)whose head positions have been connected were divided into control group(60 cases)and observation group(60 cases)according to the different positions of the pregnant women waiting for delivery after admission.In the control group,lying position was adopted,and pregnant women could turn left and right or lie on their side during labor.The observation group adopted free posture for labor.The natural delivery rate,the time of the second stage of labor,the amount of postpartum hemorrhage,the neonatal 1 minute Apgar score,the number of catheterization during labor,and the incidence of postpartum urinary retention were recorded and compared between the two groups.Results The natural delivery rate and 1 minute Apgar score of neonates in the observation group were higher than those in the control group(χ^(2)=6.11,t=3.65,P<0.05).The time of the second stage of labor and the rate of cesarean section were significantly lower than those in the control group(t=6.64,χ^(2)=4.61,P<0.05),The number of postpartum catheterization,the rate of preserved catheterization,the rate of postpartum urinary retention and the amount of postpartum blood loss in the observation group were all lower than that of the control group(t=7.41,χ^(2)=4.82,5.55,t=11.21,P<0.05).Conclusion After the convergence of the fet al head,free posture for labor can promote the natural delivery rate,shorten the labor time,reduce the risk of postpartum urinary retention and postpartum bleeding,and improve the outcome of mother and baby.

关 键 词：足月胎膜早破 胎头衔接 自由体位 分娩结局 

分 类 号：R714.433[医药卫生—妇产科学]