拆台正位接生技术在自然分娩第二产程中的应用研究  

Research on the Application of the Technique of Dismantling the Platform and Delivering Babies in the Second Stage of Natural Childbirth

作　　者：杜国艳 Du Guoyan(Xing yi People’s Hospital,Xing yi,Guizhou 562400)

机构地区：[1]兴义市人民医院,贵州兴义562400

出　　处：《科技与健康》2024年第15期13-16,共4页Technology and Health

基　　金：黔西南州基础研究计划项目(2022QXN34635)。

摘　　要：研究在自然分娩第二产程中应用拆台正位接生技术的有效性。选取2022年6月—2023年6月兴义市人民医院收治的310例自然分娩产妇为研究对象,采用随机数字表法将产妇分为参照组和研究组,每组各155例。参照组应用传统接生法,研究组应用拆台正位接生技术,比较两种接生方法的应用价值。结果显示,研究组产妇第二产程时间、住院时间短于参照组,阴道出血量少于参照组(P<0.05);研究组产妇的会阴侧切率、新生儿窒息率均低于参照组(P<0.05);研究组产后会阴疼痛评分明显低于参照组(P<0.05);研究组分娩结局明显优于参照组(P<0.05)。研究发现,产妇第二产程中应用拆台正位接生技术分娩不仅能够提高产科质量,还能保证产妇在分娩过程中的舒适感,缩短第二产程时间和住院时间,减少产后出血,降低会阴侧切率和新生儿窒息率,减轻助产士腰肌劳损症状,值得临床推广应用。Study the effectiveness of using the technique of removing the table and delivering in the upright position during the second stage of natural childbirth.310 natural childbirth mothers admitted to Xingyi People’s Hospital from June 2022 to June 2023 were selected as the research subjects.The mothers were randomly divided into a reference group and a study group using a random number table method,with 155 cases in each group.The reference group applied traditional delivery methods,while the research group applied the technique of disassembling the table for upright delivery,and compared the application value of the two delivery methods.The results showed that the second stage of labor and hospitalization time of the study group were shorter than those of the reference group,and the amount of vaginal bleeding was less than that of the reference group(P<0.05);The perineal lateral resection rate and neonatal asphyxia rate of the study group were lower than those of the reference group(P<0.05);The postpartum perineal pain score of the research group was significantly lower than that of the reference group(P<0.05);The delivery outcome of the study group was significantly better than that of the reference group(P<0.05).Research has found that using the technique of removing the table and delivering babies in the upright position during the second stage of labor not only improves obstetric quality,but also ensures comfort during delivery,shortens the duration of the second stage of labor and hospital stay,reduces postpartum bleeding,lowers the rate of episiotomy and neonatal asphyxia,and alleviates the symptoms of lumbar muscle strain in midwives.It is worthy of clinical promotion and application.

关 键 词：拆台正位接生技术 自然分娩 第二产程 

分 类 号：R714.3[医药卫生—妇产科学]