丈夫陪产配合体位管理对产妇产程及母婴结局的影响分析  

Analysis of the influence of husband's accompanying labor combined with position management on duration of labor and maternal and infant outcomes

作　　者：李燕玲 LI Yan-ling(Siming Branch Hospital of the First Affiliated Hospital of Xiamen University,Xiamen 362100,China)

机构地区：[1]厦门大学附属第一医院思明分院,362100

出　　处：《中国现代药物应用》2024年第22期70-72,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 观察丈夫陪产配合体位管理对产妇产程及母婴结局的影响。方法 将即将分娩的80例产妇作为研究对象,以随机数字表法分成研究组和对照组,各40例。研究组在分娩过程中由丈夫陪产并配合体位管理,对照组在分娩过程中由助产士陪同并采取自由舒适体位。比较两组产妇的不同产程时间与第一、二产程的分娩痛评分,统计母婴结局(分娩方式、分娩产伤及新生儿情况)。结果 研究组第一、二、三产程时间分别为(5.68±1.39)h、(44.85±3.96)min、(3.43±0.63)min,均短于对照组的(6.73±1.42)h、(53.47±5.08)min、(4.51±1.02)min,且第一、二产程的分娩痛评分分别为(5.12±1.08)、(6.24±1.59)分,均低于对照组的(6.33±1.32)、(7.76±2.11)分(P<0.05)。研究组产妇自然分娩率(97.50%)及会阴完好率(80.00%)均高于对照组(80.00%、42.50%),剖宫产率、产道损伤率、会阴侧切率(2.50%、15.00%、5.00%)均低于对照组(20.00%、35.00%、22.50%)(P<0.05);两组产妇新生儿情况比较,无明显差异(P>0.05)。结论 在产妇分娩过程中予以丈夫陪产配合体位管理,可显著缩短各个产程并减轻产痛程度,提升自然分娩率与分娩会阴完好率,降低剖宫产、产道损伤、会阴侧切率,效果理想。Objective To observe the influence of husband's accompanying labor combined with position management on duration of labor and maternal and infant outcomes.Methods 80 pregnant women who were about to give birth were divided into a study group and a control group by random number table method,with 40 cases in each group.The study group received husband's accompanying labor combined with position management,and the control group received midwives' accompanying labor with free and comfortable position.The different duration of labor and labor pain scores in the first and second stages of labor were compared between the two groups,and the maternal and infant outcomes(mode of delivery,birth injuries and neonatal conditions) were counted.Results The duration of first,second and third stages of labor were(5.68±1.39) h,(44.85±3.96) min and(3.43±0.63) min in the study group,which were shorter than(6.73±1.42) h,(53.47±5.08) min and(4.51±1.02) min in the control group;the labor pain scores in the first and second stage of labor were(5.12±1.08)and(6.24±1.59) points,which were lower than(6.33±1.32) and(7.76±2.11) points in the control group(P<0.05).The rate of spontaneous delivery(97.50%) and the rate of intact perineum(80.00%) in the study group were higher than those in the control group(80.00% and 42.50%),and the rates of cesarean section,birth injuries and perineum incision(2.50%,15.00% and 5.00%) were lower than those in the control group(20.00%,35.00% and 22.50%)(P<0.05).There was no significant difference in neonatal conditions between the two groups(P>0.05).Conclusion In the process of parturient delivery,Husband's accompanying labor combined with the position management can significantly shorten the various stages of labor and reduce the degree of labor pain,improve the rate of spontaneous delivery rate and intact perineum,reduce the rate of cesarean section,birth injuries and perineum incision,and the effect is ideal.

关 键 词：丈夫陪产 体位管理 配合干预 产程 母婴结局 产痛 

分 类 号：R473.71[医药卫生—护理学]