摘要
目的：探讨胎儿脐带绕颈产妇第二产程中应用改良McRobert体位分娩对产妇生产的影响。方法：选择2012年1月～2014年12月来我院待产的脐带绕颈临产妇180例，将其随机等分为观察组与对照组，对照组产妇在第二产程中采用常规的仰卧截石体位进行生产，观察组在第二产程中应用改良McRobert体位进行分娩，即当产妇宫口开大于10cm后，宫缩时产妇双足抬起尽量趋于腹部，双手抱头，使髋部屈曲并屏气用力，宫缩间歇成头低臀高位休息，反复进行至第二产程结束。产后比较两组新生儿情况、产妇分娩方式情况及产妇产程时间、产后出血情况。结果：观察组产妇胎儿宫内窘迫及新生儿窒息率低于对照组（P〈0．05），正常阴道分娩率高于对照组（P〈0．05），第二产程时间与第三产程时间短于对照组（P〈0．05），术后出血量少于对照组（P〈0．05）。结论：胎儿脐带绕颈产妇第二产程中应用改良McRobert体位进行分娩，能明显缩短第二产程时间，加快分娩速度，降低产妇剖宫产率，同时可改善胎儿供血供氧不足，减少胎儿宫内窘迫和新生儿窒息等不良后果的发生。
Objective：To explore the effects of improved McRobert position in the second stage of labor among those delivery women who have cord around neck on their delivery. Methods：Take 180 delivery women who have cord around neck and came to our hospital between Jan. 2012 and Dec. 2014 as our sub- ject and randomly divided them into observation group and control group. The control group delivery women deliver babies in the regular lithotomy position and the observation group delivery women deliver babies in the improved McRobert position, which means when the cervical dilation was longer than 10cm at the time of uterine contraction, the delivery woman need to lift feet to get close to abdomen and bend hip, holding breath and pushing forth strength with hands around neck. And they need to put head in lower position and hip in a higher position when the delivery woman in uterine contraction interval. They should keep this position until the end of second stage of labor. Then compare the situation of newborn, the delivery method, delivery time, amount of bleeding after delivery. Results：The occurrence rate of fetus distress in uterus and neonatal asphyxia in observation group was lower than that in control group （ （ P 〈 0.05 ） ; the regular parturition rate by vagina was lower than that in control group ; the second stage of labor and third stage of labor was shorter than that in control group （P 〈 O. 05 ） ; the amount of bleeding after the delivery was less than that in control group （P 〈0. 05）. Conclusion ：Improved MeRobert po- sition in the second stage of labor among those delivery women who have cord around neck can shorten the second stage of labor, speed up the ddivery,decrease the cesarean section rate and improve the inadequate blood supply and oxygen supply, prevent the occurrence of fetal distress in uterus and neonatal asphyxia.
出处
《护理实践与研究》
2016年第2期82-84,共3页
Nursing Practice and Research
关键词
脐带绕颈
第二产程
McRobert体位
护理
Cord around the neck
The second stage of birth process
McRobert position
Care
