侧卧位阴道分娩配合控制胎头娩出速度在初产妇中的应用效果  

The application effect of lateral vaginal delivery combined with control of fetal head delivery speed in primiparous women

作　　者：何燕 周水金 HeYan;Zhou Shujin(Department of Obstetrics,Wuzhou Maternal and Child Health Hospital,Wuzhou 543000,China)

机构地区：[1]梧州市妇幼保健院产科,广西梧州543000

出　　处：《实用妇科内分泌电子杂志》2023年第35期41-43,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探讨侧卧位阴道分娩配合控制胎头娩出速度在初产妇中的应用效果。方法 选取本院100例初产妇为研究对象,根据随机数字表法分为两组,各50例。在第二产程时,对照组采取常规体位干预,研究组采取侧卧位分娩配合控制胎头娩出速度进行干预,比较两组的第二产程用时、产后2 h出血量、疼痛程度及并发症发生情况。结果 研究组第二产程用时短于对照组,产后2 h出血量少于对照组(P<0.05);研究组会阴完整率高于对照组,Ⅱ度裂伤发生率及会阴侧切发生率低于对照组(P<0.05);研究组会阴水肿发生率低于对照组,视觉模拟评分法评分低于对照组(P<0.05)。结论 侧卧位阴道分娩配合控制胎头娩出速度能有效缩短第二产程用时,减少产后2 h出血量,降低会阴水肿发生率,减轻会阴疼痛程度,产妇会阴完整率高、侧切率低,值得推广应用。Objective To explore the application effect of lateral vaginal delivery combined with controlling fetal head delivery speed in primiparous women.Methods 100 primiparous women in our hospital were selected as the research subjects and divided into two groups using a random number table method,with 50 cases in each group.In the second stage of labor,the control group received routine body position intervention,while the study group received side lying delivery combined with control of fetal head delivery speed for intervention.The second stage of labor time,2-hour postpartum bleeding,pain level,and incidence of complications were compared between the two groups.Results The duration of the second stage of labor in the study group was shorter than that in the control group,and the amount of bleeding at 2 hours postpartum was less than that in the control group(P<0.05);The intact rate of the perineum in the study group was higher than that in the control group,and the incidence of second degree lacerations and perineal lateral incisions was lower than that in the control group(P<0.05);The incidence of perineal edema and visual simulation score in the study group were lower than those in the control group(P<0.05).Conclusion Lateral vaginal delivery combined with control of fetal head delivery speed can effectively shorten the duration of the second stage of labor,reduce postpartum bleeding at 2 hours,lower the incidence of perineal edema,alleviate perineal pain,and achieve high perineal integrity rate and low lateral resection rate in parturients.It is worth promoting and applying.

关 键 词：侧卧位阴道分娩 控制胎头娩出速度 第二产程 产后出血量 初产妇 

分 类 号：R714.3[医药卫生—妇产科学]