摘要
目的探讨拉玛泽分娩法对初产妇和新生儿的影响。方法选择2007年1月至2008年6月在我院门诊产前检查有自然分娩意向的初产妇1480例,随机分为观察组500例,导乐组490例,对照组490例。观察组经孕妇学校进行拉玛泽分娩法训练,在产程开始时采用拉玛泽分娩法指导孕妇;导乐组在产程开始后由有生育经验的助产人员陪伴分娩的全过程,对照组按常规进行产程观察。结果观察组能稳定产妇心理状态、缓解产时疼痛、缩短产程,阴道自然分娩率增高,与导乐组及对照组相比有显著性差异(P<0.05或P<0.01)。初产妇围产期并发症观察组明显少于导乐组及对照组(P<0.01)。观察组围产期新生儿并发症与导乐组差异无显著性(P>0.05);而与对照组相比有显著性差异(P<0.05或P<0.01)。结论拉玛泽分娩法可提高产科质量,减少初产妇和新生儿围产期并发症。
Objective： To investigate the effect of Lamaze delivery on primipara and neonate. Methods： 1480 primipara were randomly divided into three groups who intended to make the natural delivery in prenatal exmaination from January 2007 to June 2008. The observation group （ n = 500） received guidance of Lamaze method early in labor who have received the training before. The women in doula group （ n = 490） were accompanied by the experienced midwives during the whole stage of labor. Control group （ n = 490） underwent conventional delivery. Results： Lamaze delivery significantly decreased anxiety, relived pain, shortened birth process and increased the rate of vaginal delivery in primipara as compared with doula and control groups （ P 〈 0.05 P 〈 0. 01 ）. The maternal complications were significantly decreased compared with doula and control groups （ P 〈 0. 01 ）. In comparison with control group, the newborn morbities were remarkably reduced in observation group （ P 〈 0. 05 P 〈 0. 01 ） which had no significance with doula group. Conclusion： Lamaze delivery can improve obstetric quality and reduce incidences of perinatal complications in mothers and newborn infants.
出处
《中国优生与遗传杂志》
2009年第5期89-91,116,共4页
Chinese Journal of Birth Health & Heredity
基金
南京军区"十一五"科技计划2007年度资助项目(编号:07M101)
