初产妇分娩体位选择对产程时长的影响  

The influence of the choice of delivery position on the duration of labor process of primiparous women

作　　者：卢艳峰 陈若颖 LU Yan-feng;CHEN Ruo-ying(Department of Obstetrics,Quanzhou Maternal and Child Health Hospital Children's Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市妇幼保健院·儿童医院产科,362000

出　　处：《中国现代药物应用》2024年第10期45-47,共3页Chinese Journal of Modern Drug Application

基　　金：泉州市科技计划项目(项目编号:2018N090S)。

摘　　要：目的探讨初产妇分娩体位选择对产程时长的影响。方法收集160例初产妇进行研究,按照随机数字表法分为观察组和对照组,每组80例。对照组采取传统体位分娩,观察组采取自由体位分娩。观察比较两组胎方位、分娩方式,顺产产妇产程时长,缩宫素使用情况和宫颈水肿、产后出血及新生儿窒息发生率。结果观察组产妇的胎方位异常率7.50%和转剖宫产率7.50%均低于对照组的18.75%、18.75%,差异有统计学意义(P<0.05)。观察组顺产产妇第一、二、三产程分别为(300.38±135.33)、(164.59±70.30)、(42.33±16.66)min,均短于对照组的(441.20±165.59)、(202.29±78.84)、(68.98±22.38)min,差异有统计学意义(P<0.05)。观察组宫颈水肿发生率6.25%及缩宫素使用率7.50%低于对照组的16.25%、20.00%,差异有统计学意义(P<0.05);两组产后出血及新生儿窒息发生率对比无统计学差异(P>0.05)。结论初产妇选择自由体位分娩能够缩短产程,降低胎方位异常率和转剖宫产率,减少了缩宫素的使用,改善宫颈水肿,是一种值得推广的分娩体位,具有较高的临床使用价值。Objective To explore the influence of the choice of delivery position on the duration of labor process of primiparous women.Methods A study was conducted on 160 primiparous women,and they were randomly divided into an observation group and a control group using a random number table method,each with 80 cases.The control group delivered in traditional position,and the observation group delivered in free position.The fetal orientation,delivery mode,duration of labor for women in normal delivery,use of oxytocin,incidence of cervical edema,postpartum hemorrhage and neonatal asphyxia were compared between the two groups.Results The incidence of abnormal fetal orientation and conversion rate to cesarean section in the observation group were 7.50%and 7.50%,which were lower than 18.75%and 18.75%in the control group,and the difference was statistically significant(P<0.05).The duration of first,second and third stages of labor in the observation group were(300.38±135.33),(164.59±70.30)and(42.33±16.66)min,which were shorter than(441.20±165.59),(202.29±78.84)and(68.98±22.38)min in the control group,and the difference was statistically significant(P<0.05).The incidence of cervical edema(6.25%)and the utilization rate of oxytocin(7.50%)in the observation group were lower than those in the control group(16.25%and 20.00%),and the difference was statistically significant(P<0.05).There were no significant differences in the incidence of postpartum hemorrhage and neonatal asphyxia between the two groups(P>0.05).Conclusion Choosing a free delivery position for primiparous women can shorten the duration of labor process,reduce the incidence of abnormal fetal orientation and conversion rate to cesarean section,reduce the use of oxytocin,and improve cervical edema.It is a delivery position worthy promotion and has high clinical value.

关 键 词：初产妇 分娩体位 自由体位 传统体位 产程时长 

分 类 号：R473.71[医药卫生—护理学]