摘要
目的 观察分析分娩过程中体位管理辅助徒手旋转胎头对初产妇妊娠结局的影响.方法 选取2018年6月~2019年5月我院收治的1080例初产妇作为研究对象,按照随机数字表法分为对照组(n=540)与观察组(n=540).对照组采用常规助产,观察组采用体位管理辅助徒手旋转胎头.比较两组分娩方式、产程用时、产妇分娩并发症.结果 观察组自然分娩率高于对照组,器械助产率、剖宫产率低于对照组,差异均有统计学意义(P<0.05);观察组Ⅱ度裂伤、会阴切开率低于对照组,会阴完整率高于对照组,差异均有统计学意义(P<0.05);观察组第一、第二及总产程短于对照组,差异均有统计学意义(P<0.05);观察组产后出血、继发性宫缩乏力、产后尿潴留发生率低于对照组,差异均有统计学意义(P<0.05);两组新生儿窒息、宫颈裂伤、羊水污染发生率比较,差异无统计学意义(P>0.05).结论 产程中实施体位管理辅助徒手旋转胎头,可有效降低剖宫产和器械助产风险,缩短第一、二产程时间、降低产后出血率,减轻会阴损伤程度,减少继发性宫缩乏力和产后尿潴留的发生,提升分娩安全性,效果显著.
Objective To observe and analyze the influence of position management assisted by bare hand rotation of fetal head on the pregnancy outcome of primipara.Methods A total of 1080 primiparas admitted to our hospital from June 2018 to May 2019 were selected as the study objects.According to the random number table method they were divided into the control group(n=540)and the observation group(n=540).The control group used conventional midwifery,and the observation group used body position management to assist in freehand rotation of fetal head.Methods of delivery,duration of labor and complications of delivery were compared between the two groups.Results The rate of natural delivery in the observation group was higher than that in the control group,and the rate of instrument delivery and cesarean section was lower than that in the control group(P<0.05).In the observation group,the rate of second degree laceration and perineal incision was lower than that in the control group,and the rate of perineal completion was higher than that in the control group(P<0.05).The first,second and total labor stages of the observation group were shorter than those of the control group(P<0.05).The incidence of postpartum hemorrhage,secondary uterine inertia and postpartum urinary retention in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of neonatal asphyxia,cervical laceration and amniotic fluid pollution between the two groups(P>0.05).Conclusion During the stage of labor,the body position management and the free-hand rotation of the fetal head can effectively reduce the risk of midwifery of the cesarean section and the device,shorten the time of first and second labor,reduce the postpartum hemorrhage rate,reduce the degree of perineal injury,and reduce the occurrence of secondary uterine contraction and post-partum urine retention.And the delivery safety is improved,and the effect is remarkable.
作者
张小玲
梁海泳
谢慧慧
ZHANG Xiao-ling;LIANG Hai-yong;XIE Hui-hui(Department of Obstetrics and Gynecology,Shenzhen Luohu District Maternal and Child Health Hospital,Guangdong Province,Shenzhen 518019,China)
出处
《中国当代医药》
2020年第18期120-122,126,共4页
China Modern Medicine
基金
广东省深圳市罗湖区软科学研究计划项目。
关键词
体位管理
初产妇
分娩方式
产程时间
应用效果
Body position management
Primipara
Delivery mode
Delivery time
Application effect
