自由体位分娩在降低产妇剖宫产率及新生儿健康中的影响  

Application Effect of Free Position Delivery in Reducing Cesarean Section Rate and Newborn Health

作　　者：蒋凌云 JIANG Lingyun(Department of Obstetrics,Huli District Maternal and Child Health Hospital of Xiamen,Xiamen 361000,China)

机构地区：[1]厦门市湖里区妇幼保健院产科,厦门361000

出　　处：《中国医药指南》2024年第18期111-113,共3页Guide of China Medicine

摘　　要：目的回顾性分析自由体位分娩在产妇生产中对自然分娩率、剖宫产率及新生儿健康中的影响。方法收集2020年6月至2023年8月在我院分娩产妇7260例病例资料,按不同分娩方式将患者分为两组,其中研究组3600例,对照组3660例。对照组行常规卧位分娩,研究组行自由体位分娩。对比两组自然分娩率、阴道助产率、剖宫产率、产妇分娩满意率、分娩指标、产妇状态及新生儿情况(新生儿1 min内Apgar评分及体质量、新生儿窒息率)。结果研究组自然分娩率、产妇分娩满意率均高于对照组(P<0.05);研究组阴道助产率、剖宫产率、缩宫素干预率、会阴侧切干预率、新生儿窒息率均低于对照组(P<0.05);研究组产程时间、产后出血量少于对照组(P<0.05);研究组新生儿体重与对照组相比,无差异(P>0.05);研究组产妇视觉模拟疼痛评分(VAS)、焦虑量表(SAS)评分低于对照组,新生儿Apgar评分高于对照组(P<0.05)。结论自由体位分娩可降低剖宫产率,减轻产妇产程痛苦,降低新生儿窒息发生风险。Objective To retrospectively analyze the effects of free position delivery on natural delivery rate,cesarean section rate and newborn health.Methods The data of 7260 women who gave birth in our hospital from June 2020 to August 2023 were collected,and the patients were divided into two groups according to different delivery methods,including 3600 cases in the study group and 3660 cases in the control group.The control group performed routine decubitus delivery,and the study group performed free postural delivery.The natural delivery rate,vaginal midwifeness rate,cesarean section rate,maternal satisfaction rate,delivery index,maternal status and neonatal conditions(newborn's score and body weight within 1min,neonatal asphyxia rate)were compared between the two groups.Results The rate of natural delivery and the satisfaction rate of delivery in the study group were higher than those in the control group(P<0.05).Vaginal midwifery rate,cesarean section rate,oxytocin intervention rate,lateral perineal resection intervention rate and neonatal asphyxia rate of the study group were lower than those of the control group(P<0.05).The labor time and postpartum blood loss in the study group were less than those in the control group(P<0.05).There was no difference in neonatal weight between the study group and the control group(P>0.05).The visual analogue pain scale(VAS)and anxiety scale(SAS)in the study group were lower than those in the control group,and the scores of newborn Apgar were higher than those in the control group(P<0.05).Conclusions Free position delivery can reduce the rate of cesarean section,relieve the pain of labor and reduce the risk of neonatal asphyxia.

关 键 词：自由体位分娩 剖宫产率 会阴侧切干预率 新生儿窒息率 

分 类 号：R719.8[医药卫生—妇产科学]