摘要
目的探讨无痛分娩用于临床初产妇的效果及对母婴结局的影响。方法选取2018年3月~2019年3月在本院分娩的104例产妇进行回顾性分析,在不损害产妇利益的前提下,根据产妇及其家属选择意愿,按照不同的分娩方式将104例产妇分为对照组与观察组,每组52例,对照组采用常规分娩,而观察组采用无痛分娩。观察比较两组产妇的分娩过程中的疼痛情况、新生儿Apgar评分、剖宫产、新生儿窒息以及宫缩乏力发生率,同时比较两组产妇的第一产程时间、第二产程时间以及产后出血量,并在产后调查两组产妇的焦虑、抑郁状况。结果观察组的VAS评分明显低于对照组,剖宫产、新生儿窒息以及宫缩乏力的发生率也低于对照组;同时观察组的第一产程时间、第二产程时间短于对照组,产后出血量少于对照组;且观察组在产后的SAS评分以及SDS评分均低于对照组(P<0.05);新生儿Apgar评分结果显示观察组与对照组相当,比较差异无统计学意义(P>0.05)。结论对于临床初产妇采用无痛分娩具有显著镇痛的效果,且对母婴结局无影响,减少产妇产后不良情绪的发生,值得推广。
Objective To investigate and analyze the effect of painless delivery on clinical primipara and its impact on maternal and fetal outcomes.Methods A retrospective analysis was performed on 104 women who delivered in our hospital from March 2018 to March 2019.Without prejudice to the interests of the primiparas,based on the willingness of the primiparas and their families,104 cases were divided into control group and observation group according to different delivery methods,with 52 cases in each group.The control group used conventional delivery,while the observation group used painless delivery.The pain during delivery,neonatal Apgar score,as well as incidences of cesarean section,neonatal asphyxia and uterine atony in the two groups were observed and compared.At the same time,the time of the first stage of labor,the time of the second stage of labor,and the amount of postpartum hemorrhage were compared between the two groups,and the anxiety and depression of the two groups were investigated after the birth.Results The VAS score of the observation group was significantly lower than that of the control group,and the incidences of cesarean section,neonatal asphyxia and uterine atony were also lower than those of the control group.At the same time,the first stage of labor and the second stage of labor in the observation group were shorter than the control group.The postpartum hemorrhage volume was less than that of the control group.The postpartum SAS score and SDS score of the observation group were lower than those of the control group(P<0.05).The neonatal Apgar score showed that the observation group was comparable to the control group,and the difference between the two groups was not statistically significant(P>0.05).Conclusion The application of painless delivery in primipara has shown significant analgesic effects,has no effect on maternal and infant outcomes,and reduces the incidence of postpartum adverse emotions,which is worth promoting.
作者
黄卫玲
陶荣贵
易国里
黎小红
区景云
HUANG Weiling;TAO Ronggui;YI Guoli;LI Xiaohong;OU Jingyun(Zengcheng Traditional Chinese Medicine Hospital,Guangdong,Guangzhou 511300,China)
出处
《中国医药科学》
2019年第24期110-113,共4页
China Medicine And Pharmacy
关键词
初产妇
无痛分娩
母婴结局
疼痛
新生儿
Primipara
Painless delivery
Maternal and infant outcomes
Pain
Newborn
