不同坐式分娩对初产妇第二产程及母婴结局的影响  

Effects of different sitting deliveries on the maternal and infant outcomes in the second stage of labor for primiparous women

作　　者：闫思思[1] 李悦[1] 付玉惠 Yan Sisi;Li Yue;Fu Yuhui(Department of Delivery Room,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院北京妇幼保健院分娩室,北京100026

出　　处：《护理学杂志》2025年第4期21-24,30,共5页Journal of Nursing Science

基　　金：北京市医院管理中心2024年度“培育计划”西医项目(PX2024050)。

摘　　要：目的探讨BirthRite坐位分娩组件接产的安全性和有效性,为缩短初产妇第二产程时间,提升产妇生产体验提供参考。方法将住院分娩的低危初产妇236例,第二产程按照产妇意愿分为观察组(116例)和对照组(120例)。观察组采用BirthRite坐位分娩组件坐式分娩,对照组采用电动产床坐式分娩。观察两组产妇第二产程时间、非枕前位占比、阴道助产、产后出血、肩难产、会阴侧切、会阴裂伤、会阴水肿、会阴疼痛程度和产后满意度;比较两组新生儿出生体质量和1 min、5 min Apgar评分。结果对照组中途2例退出。两组均顺利分娩,观察组第二产程时间显著短于对照组,分娩非枕前位占比、肩难产发生率、会阴侧切率、会阴水肿及疼痛程度显著低于对照组,产妇满意度显著高于对照组(均P<0.05)。两组新生儿出生后1 min和5 min Apgar评分均为10分。结论使用BirthRite分娩椅能够缩短第二产程时间,提高产妇满意度,优化坐位分娩结局。Objective To investigate the safety and efficacy of the BirthRite sitting delivery component for delivery,and to provide reference for shortening the duration of the second stage of labor for primiparous women and improving their delivery experience.Methods A total of 236 low-risk primiparas who delivered in the hospital were divided into an observation group(120 cases)and a control group(118 cases)according to their wishes in the second stage of labor.The observation group adopted the BirthRite sitting delivery component,and the control group adopted the electric delivery bed for sitting delivery.The duration of the second stage of labor,the proportion of non-occipital anterior position,assisted vaginal delivery,postpartum hemorrhage,shoulder dystocia,episiotomy,perineal laceration,perineal edema,perineal pain,and postpartum satisfaction were observed in the two groups.The newborn birth weight and 1 min and 5 min Apgar scores were compared between the two groups.Results Two cases in the control group withdrew midway.Both groups successfully completed delivery.The duration of the second stage of labor in the observation group was significantly shorter than that in the control group.The proportion of non-occipital anterior position,the incidence of shoulder dystocia,the rate of episiotomy,perineal edema,and perineal pain were significantly lower than those in the control group.Postpartum satisfaction in the observation group was significantly higher than the control group(all P<0.05).The Apgar scores of the newborns in both groups were 10 at 1 minute and 5 minutes after birth.Conclusion Adopting the BirthRite delivery chair can shorten the duration of the second stage of labor,improve maternal satisfaction,and optimize sitting delivery outcomes.

关 键 词：产妇 分娩 第二产程 分娩椅 坐式分娩 分娩结局 产科护理 

分 类 号：R473.71[医药卫生—护理学] R714.3[医药卫生—临床医学]