摘要
目的观察并比较分娩球运动联合自由体位助产对产程进展及分娩结局的影响。方法选取2015年12月~2016年12月在我院产科分娩的产妇200例,采用随机数字表法将其分为观察组及对照组,各100例。对照组采用传统半卧位分娩,观察组采用分娩球运动联合自由体位分娩,观察并比较两组产程进展情况及分娩结局。结果观察组第一产程、第二产程、第三产程、总产程时间分别为(256.12±50.12)、(36.01±15.37)、(16.14±4.11)、(301.11±70.01)min,均短于对照组的(401.24±65.79)、(47.13±25.11)、(26.41±6.67)、(482.14±94.57)min,差异均有统计学意义(P<0.05);观察组阴道分娩发生率为75%,高于对照组的43%,剖宫产率为19%,低于对照组的49%,差异均有统计学意义(P<0.05);观察组产后大出血、新生儿窒息、吸入综合征、新生儿呼吸系统疾病的发生率(1%、1%、2%、1%)均低于对照组(8%、8%、9%、10%),差异有统计学意义(P<0.05)。结论分娩球运动联合自由体位助产,利于促进产程加快,有效改善分娩结局,促进自然分娩率显著提高。
Objective To observe and compare the effect of delivery ball movement combined with free position midwifery on labor progress and pregnancy outcome.Methods 200 pregnant women with delivery in the obstetrical department of hospital from December 2015 to December 2016 were selected,and they were divided into observation group and control group according to random number table,with 100 cases in each group.The control group had delivery with traditional semi-reclining position,while the observation group took delivery ball movement combined with free position midwifery.The labor progress and pregnancy outcome were compared between the two groups.Results The time of the first stage of labor,the second stage of labor,the third stage of labor,total stage of labor in the observation group were（256.12±50.12）,（36.01±15.37）,（16.14±4.11）,（301.11±70.01） min,which were less than（401.24±65.79）,（47.13±25.11）,（26.41±6.67）,（482.14 ±94.57） min in the control group,the differences were statistically significant（P 0.05）;the incidence of vaginal delivery（75%） in the observation group was higher than that in the control group（43%）,while the cesarean section rate in the observation group（19%） was lower than that in the control group（49%）,the differences were statistically significant（P〈0.05）;the incidence of postpartum hemorrhage,neonatal asphyxia,aspiration syndrome,respiratory disorders in the observation group（1%,1%,2%,1%） were lower than those in the control group（8%,8%,9%,10%）,the differences were statistically significant（P〈0.05）.Conclusion Delivery ball movement combined with free position midwifery can effectively accelerate the stage of labor,improve pregnancy outcome,increase the rate of natural delivery.
出处
《中国当代医药》
2017年第25期84-86,共3页
China Modern Medicine
基金
江西省景德镇市科技计划项目(SF20141428)
关键词
分娩球运动
自由体位
助产
产程进展
分娩结局
Delivery ball movement
Free position
midwifery
Labor progress
Pregnancy outcome
