摘要
目的探究分娩镇痛中第二产程不同体位对母婴结局影响。方法从2020年1月至2020年7月选择200例于皖南医学院第一附属医院分娩的产妇作为研究对象,随机数表法分为两组,自由组(n=100)在第二产程阶段采用自由体位进行分娩,传统组(n=100)在第二产程阶段使用平卧位进行分娩,比较两组第一、二、三产程时间,产后出血及住院情况,分娩疲倦程度及分娩控制感,母婴结局。结果自由组产时出血量、产后24 h出血量、住院时间低于传统组(P <0.05);自由组第一产程、第二产程时间均短于传统组(P <0.05);自由组产妇在分娩过程中的疲倦度评分低于传统组,分娩控制感评分高于对照组(P <0.05);自由组新生儿窒息的发生率显著低于传统组(P <0.05)。两组产妇不良结局率、新生儿出生体重比较差异均无统计学意义(P>0.05),自由组会阴完整率显著高于传统组(P <0.05)。结论分娩镇痛下实施第二产程自由体位生产可降低产妇疲倦程度,增加分娩控制感,减少第二产程时间,产妇会阴完整率更高,新生儿窒息率更低。
Objective To explore the effects of different postures with labor analgesia in the second labor stage on maternal and neonatal outcomes.Methods A total of 200 puerperae undergoing delivery in First Affiliated Hospital of Wannan Medical College from January to July 2020 were selected and divided into the study group(n=100, free positions) and control group(n=100, supine position) by random number table method.The duration in the first, second and third stage of labor, postpartum hemorrhage, hospitalization situations, delivery fatigue degree, delivery control sense, and maternal and neonatal outcomes were compared between the two groups.Results The blood loss in delivery and 24 h after delivery, and hospitalization time were lower in study group(P < 0.05).The duration of the first, second stage of labor was shorter in study group(P < 0.05).The fatigue scores during delivery were lower, while scores of delivery control sense were higher in study group(P < 0.05).The incidence of neonatal asphyxia was significantly lower in study group(P < 0.05).There were no significant differences in maternal adverse outcomes rate and neonatal birth weight between the two groups(P > 0.05).The perineal integrity rate was significantly higher in study group(P < 0.05).Conclusion The implementation of free postures delivery in the second stage of labor under labor analgesia can alleviate fatigue degree, increase delivery control sense, and shorten duration in the second stage of labor, with higher maternal perineal integrity rate and lower neonatal asphyxia rate.
作者
申俊
洪蕊
张帆
SHEN Jun;HONG Rui;ZHANG Fan(Department of Obstetrics,The First Affiliated Hospital of Wannan Medical College,Wuhu 241000,China)
出处
《中国妇产科临床杂志》
CSCD
2021年第3期231-233,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
安徽省高等学校省级质量工程项目(2018yljc024)。
关键词
分娩镇痛
体位
第二产程
母婴结局
labor analgesia
posture
second stage of labor
maternal and neonatal outcome
