摘要
目的探讨可塑性会阴保护器在阴道分娩中的应用。方法根据会阴形状设计一种可塑性会阴保护器,随机选择部分阴道分娩的产妇,在胎头拔露时置于产妇的会阴部代替助产士的右手保护会阴,统计会阴裂伤、会阴侧剪切口延裂、新生儿窒息、新生儿产伤的发生率以及产后出血量等指标与传统接生方法是否有差别。结果使用可塑性会阴保护器代替助产士的右手保护会阴后所统计出的各项指标与传统的接生方法无明显差别,产妇未诉不适感,助产士操作方便,右手的工作量减少,尤其是在脐带绕颈、肩难产等紧急情况助产士的右手可以很好地与左手配合,更好地完成接生工作。结论在阴道分娩中可以使用会阴保护器代替助产士的右手来保护会阴。
Objective To discuss the application of plastically perineum protector in vaginal delivery. Methods Designing the plastically perineum protector in the term of the shape of perineum,to choose the parturient in the vaginal delivery at random. It compared the difference to the incidence of perineal laceration,neonatal asphyxia,birth injury,and so on with or without using perineum protector in head visible on vulval gapping. Results There wasn＇t obvious difference in two group. Parturient didn＇t complaint,and midwife operated conveniently. When the circulor of umbilical cord and shoulder dystocia happened,it could match the left hand with right hand preferably, to give birth to a child successfully. Conclusion In the spontaneous delivery, the plastically perineum protector can replace the right hand to protect perineum.
出处
《中国现代医生》
2008年第13期51-51,53,共2页
China Modern Doctor
基金
深圳市宝安区科技区2007年立项(编号2007102)
