无痛分娩下活跃期支撑式前倾坐位联合侧卧位接产在初产妇分娩中的应用效果  

Application Effect of Supported Forward Sitting Position Combined with Lateral Lying Position for Delivery during Active Period of Painless Delivery in Primipara

作　　者：凌杨 周艳婷 冯银艳 赵淑芳 LING Yang;ZHOU Yanting;FENG Yinyan;ZHAO Shufang(Delivery Room,Jiangmen Maternal and Child Health Hospital,Jiangmen 529000,China;不详)

机构地区：[1]江门市妇幼保健院产房,广东江门529000

出　　处：《中国医学创新》2025年第5期94-97,共4页Medical Innovation of China

基　　金：江门市医疗卫生领域科技计划项目(2022YL04007)。

摘　　要：目的:探讨无痛分娩下活跃期支撑式前倾坐位联合侧卧位接产在初产妇分娩中的应用效果。方法:选取2022年10月-2023年9月在江门市妇幼保健院进行无痛阴道分娩的120例初产妇作为研究对象,以随机数字表法分为对照组、试验组,各60例。对照组第一产程给予传统卧位待产护理,第二产程采用截石卧位接生;试验组第一产程进入活跃期后,给予支撑式前倾坐位待产,第二产程采用侧卧位接生。比较两组的产钳助产情况、会阴撕裂情况、产程时间、产后2 h出血量、疼痛程度、胎心音频率异常率及新生儿Apgar评分。结果:试验组第一产程时间短于对照组,产钳助产率、会阴撕裂率、产后2 h出血量、疼痛评分均显著低于对照组,差异均有统计学意义(P<0.05);两组胎心音频率异常率、第二产程时间及新生儿出生后1、5、10 min Apgar评分比较,差异均无统计学意义(P>0.05)。结论:无痛分娩下活跃期支撑式前倾坐位联合侧卧位接产对初产妇阴道分娩具有一定的临床效果,可减少产钳助产情况,缩短第一产程时间,减少会阴撕裂,改善产后出血量,临床应用安全可靠。Objective:To investigate the application effect of supported forward sitting position combined with lateral lying position for delivery during active period of painless delivery in primipara.Method:A total of 120 primipara who underwent painless vaginal delivery in Jiangmen Maternal and Child Health Hospital from October 2022 to September 2023 were selected as the research objects,and they were divided into control group and experimental group by digital random method,with 60 cases in each group.The control group was given traditional lying position in the first stage of labor and lithotomy in the second stage of labor.After the first stage of labor entered the active stage,the experimental group was given the supported forward sitting position for labor,and the second stage of labor was delivered in the lateral lying position.The conditions of forceps delivery,perineal laceration,labor time,2 h postpartum blood loss,pain degree,abnormal rate of fetal heart sound frequency and neonatal Apgar score were compared between the two groups.Result:The first labor time of experimental group was shorter than that of control group,and the forceps assisted delivery rate,perineal tearing rate,2 h postpartum blood loss and pain score of experimental group were significantly lower than those of control group,with statistical significance(P<0.05).There were no significant differences in the abnormal rate of fetal heart sound frequency,time of second stage of labor,Apgar score 1 min,5 min and 10 min after birth between two groups(P>0.05).Conclusion:Supported forward sitting position combined with lateral lying position for delivery during active stage of painless delivery has certain clinical effects on vaginal delivery of primipara,which can reduce the conditions of forceps delivery,shorten the time of the first stage of labor,reduce perineal tear,improve postpartum bleeding amount,and is safe and reliable in clinical application.

关 键 词：支撑式前倾坐位 侧卧位 分娩 产程 

分 类 号：R473.71[医药卫生—护理学]