无保护助产护理在初产妇自然分娩中的应用及对产后并发症、新生儿窒息发生率的影响  

Application of unprotected midwifery nursing in natural delivery of primipara and its influence on the incidence of postpartum complications and neonatal asphyxia

作　　者：王玉 WANG Yu(Department of Obstetrics,People’s Hospital of Mudan,Heze,Shandong Province,Heze 274000,China)

机构地区：[1]山东省菏泽市牡丹人民医院产科,山东菏泽274000

出　　处：《妇儿健康导刊》2025年第6期127-130,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的 分析无保护助产护理在初产妇自然分娩中的应用价值。方法 通过随机数字表法将菏泽市牡丹人民医院2022年5月至2023年12月接收的94例自然分娩初产妇实施分组研究,每组47例。试验组采用无保护助产护理,参照组采用传统助产护理,比较两组分娩出血量、疼痛程度、住院时间、产后并发症、会阴侧切、会阴裂伤、新生儿窒息发生情况及产程。结果 与参照组相比,试验组分娩出血量较少,疼痛评分、产后并发症、会阴侧切、会阴裂伤及新生儿窒息发生率均较低,住院时间较短(P <0.05);两组产程比较无差异(P>0.05)。结论 无保护助产护理用于自然分娩初产妇,能减少分娩出血量,减轻疼痛,降低会阴侧切及会阴裂伤发生率,减少产后并发症、新生儿窒息的风险,缩短康复周期,值得推广。Objective To analyze the application value of unprotected midwifery nursing in natural delivery of primipara.Methods A total of 94 primiparas undergoing natural delivery received by People's Hospital of Mudan,Heze from May 2022 to December 2023 were divided into two groups using the random number table method,with 47 cases in each group.The experimental group adopted unprotected midwifery nursing,and the reference group adopted traditional obstetric care.The amount of bleeding during delivery,the degree of pain,the length of hospital stay,postpartum complications,episiotomy,perineal lacerations,neonatal asphyxia,and labor conditions were compared between the two groups.Results The experimental group had less amount of bleeding during delivery,lower pain score,shorter hospital stay,and lower incidence of postpartum complications,episiotomy,perineal laceration,and neonatal asphyxia compared with the control group,with statistical significance(P < 0.05).There was no significant difference in labor progress between the two groups(P > 0.05).Conclusion The unprotected midwifery nursing for primiparas undergoing natural delivery can reduce the amount of bleeding during delivery,alleviate pain,reduce the incidence of episiotomy,perineal laceration,and the risk of postpartum complications and neonatal asphyxia as well as shorten the recovery period,which is worth promoting.

关 键 词：无保护助产护理 初产妇 自然分娩 产后并发症 新生儿窒息 

分 类 号：R473.71[医药卫生—护理学]