摘要
目的探讨会阴无保护分娩技术的临床应用方法与疗效。方法选取赣县妇幼保健院2012年6月-2013年5月住院分娩产妇中自愿选择会阴无保护分娩的初产妇作为观察组(826例),术中采用一对一护理模式在会阴无保护状态下分娩;选择该院2011年6月-2012年5月住院分娩产妇中的初产妇作为对照组(736例),采用常规护理和传统的保护会阴接生方法进行分娩。比较两组顺产率、会阴侧切率、剖宫产率、产后2 h内的出血量及新生儿窒息率。结果观察组顺产率较对照组高(P<0.01),会阴侧切率、剖宫产率和产后2 h内出血量均较对照组低(P<0.01),两组比较差异有统计学意义。两组新生儿窒息率和出生体重无统计学差异(P>0.05)。结论通过会阴无保护分娩的服务新模式,为产妇提供人性化护理,促进自然分娩,同时可有效降低初产妇会阴侧切率、剖宫产率,对提高产科服务质量起到积极作用。
[ Objective ] Clinical application method and effect of perineal unprotected delivery technology. [ Methods ] In our hospital from 2012 June to 2013 May in the voluntary choice of maternal hospital delivery perineal unprotected primiparae into observation group （826 cases）, the observation group was treated with care and perineal one-to-one delivery method without the protection of the state; in 2011 June - 2012 May spot checks of maternal hospital delivery in nulliparous women as control group （736 cases）. The control group using conventional nursing and traditional protection method of childbirth perineal midwifery, compared two groups of the rate of vaginal delivery, episiotomy rate, volume and neonatal asphyxia rate of cesarean section, postpartum hemorrhage within two hours. [ Results ] In the observation group, normal delivery rate than the control group （P〈0.01）, lateral episiotomy rate, the rate of cesarean section and neonatal asphyxia rate were lower than that of the control group （P〈0.01）, postpartum hemorrhage within two hours were lower than those in the control group （P〈0.01）. [ Conclusion ] The application of perineal unprotected by new service mode of delivery, providing the humanized service for women, promote natural delivery, and effectively reduces the primipara episiotomy rate, the rate of cesarean section,a positive role to improve the quality of obstetrical service.
出处
《中国妇幼卫生杂志》
2014年第1期53-54,共2页
Chinese Journal of Women and Children Health
关键词
会阴无保护分娩
临床应用
unprotected perineal delivery
clinical application
