摘要
目的:探讨会阴无保护接生技术应用在低危孕妇正常分娩中效果。方法:选取2017年3月-2018年10月本院104例低危孕妇,按照随机数字法分两组,观察组给予会阴无保护接生技术分娩,对照组给予传统保护会阴方法分娩,对两组孕产妇的会阴切开率、会阴完整率、会阴裂伤程度、疼痛程度及第二产程时间、出血量、不良妊娠结局进行观察及评估。结果:观察组会阴完整率(44.2%)高于对照组(17.5%),会阴切开率(19.2%)低于对照组(48.1%),会阴裂伤Ⅱ度Ⅲ级占比(17.3%)低于对照组(66.7%)(均P<0.05)。两组均无会阴裂伤Ⅲ度。观察组疼痛程度Ⅱ级、Ⅲ级占比均低于对照组,第二产程时间短于对照组,产时出血量、产后出血量低于对照组,产后大出血及新生儿窒息发生率均低于对照组(均P<0.05)。结论:会阴无保护接生技术应用于低危孕妇正常分娩有较好临床价值,有利于减少会阴裂伤及会阴切开风险,值得应用及推广。
Objective:To study the value of perineal unprotected delivery technique in normal delivery of low risk pregnant women.Methods:104 low risk pregnant women were selected and were divided into two groups according to the random number method from March 2017 to October 2018.The women in the observation group were given unprotected perineal delivery,while women in the control group were given traditional perineal delivery.The rates of perineal incision and perineal integrity,the perineal fissure injury degree,the pain degree,the second labor time,the bleeding amount,and the adverse pregnancy outcomes of women in the two groups were observed and evaluated.Results:The perineal integrity rate of women in the observational group was 44.2%,which was significant higher than that(17.5%)of women in the control group(P<0.05).The rate of perineal incision and the proportion ofⅠandⅡdegree of perineal laceration of women in the observational group were 19.2%and 17.3%,which were significant lower than those(48.1%and 66.7%)of women in the control group(P<0.05).There was no any women withⅢdegree perineal laceration in both groups.The the proportion of the pain degreeⅡandⅢ,the time of the second stage of labor,the bleeding amount during labor or postpartum bleeding amount,and the incidences f postpartum hemorrhage and neonatal asphyxia of women in the observational group were significant less than those of women in the control group(P<0.05).Conclusion:The perineal unprotected delivery technique used for low risk pregnant women during delivery has high clinical value,which is beneficial to reduce the risk of perineal laceration and perineal incision,so it is worth application and promotion.
作者
郑萍
夏小桃
丁海燕
ZHENG Ping;XIA Xiaotao;DING Haiyan(Zhoushan Maternal and Child Health Care Hospital,Zhejiang Province,316000)
出处
《中国计划生育学杂志》
2020年第2期291-293,共3页
Chinese Journal of Family Planning
关键词
低危孕妇
阴道分娩
会阴无保护接生技术
会阴切开
Low risk pregnant women
Vaginal delivery
Unprotected delivery technique
Perineal incision
