摘要
目的:探讨自由体位配合水疗热敷对产程和分娩结局的影响。方法:538例初产妇随机分为两组,观察组275例,实施自由体位配合水疗热敷法助产;对照组263例,采用常规方法助产。比较两组胎位矫正率、产程进展、分娩疼痛及母婴结局。结果:观察组、对照组胎位纠正率分别为78.2%、49.1%,差异有统计学意义(P<0.05);观察组总产程、宫颈成熟时间较对照组明显缩短,且产妇分娩疼痛评分更低(P<0.05);观察组会阴裂伤、软产道损伤、产后出血发生率,胎儿宫内窘迫、新生儿窒息发生率均低于对照组,自然分娩明显提高(P<0.05)。结论:自由体位配合水疗热敷法可有效缩短产程,缓解分娩疼痛,提高自然分娩率。
Objective: To explore the effect of free posture combined with hydrotherapy-hot compress on labor and delivery outcome. Methods: 538 primipara were randomly divided into two groups, the observation group of 275 cases,the implementation of free body position with hydrotherapy hot compress midwifery.263 cases in control group were given midwifery by routine methods. The corrected rate of fetalposition,labor progress,labor pain and maternal and neonatal outcomes were compared between the two groups. Results: The corrective rate of fetal position in observation group and control group were 78. 2%and 49.1% respectively,and the difference was statistically significant( P〈0.05). The total labor process and cervical ripening time in observation group were significantly shorter than those in control group,and the maternal labor pain score was lower( P〈0.05). The incidence of perineal laceration,soft birth canal injury,postpartum hemorrhage,fetal intrauterine bleeding in observation group were significantly lower than those in control group. The incidence of distress and neonatal asphyxia was lower than that of control group,and natural childbirth increased significantly( P〈0.05). Conclusion: Free posture combined with hydrotherapy hot compress can effectively shorten the labor process,relieve labor pain,and improve the natural delivery rate.
作者
熊霞
谢颖
XIONG Xia, XIE Ying(Department of Nursing, the people' s Hospital of Fengxin, Fengxin 330700, China)
出处
《华夏医学》
CAS
2018年第5期128-131,共4页
Acta Medicinae Sinica
基金
广西高校中青年教师基础能力提升项目(KY2016LX242)
关键词
自然分娩
自由体位
水疗
热敷
母婴结局
natural childbirth
free posture
hydrotherapy
hot compress
maternal and infant outcomes