摘要
目的探究孕晚期骨盆运动对初产妇产力、产道、胎儿等分娩要素及妊娠结局的影响。方法选取2020年1月到2021年1月于南阳市宛城区第一人民医院处于孕晚期的初产妇,根据随机数字表法将其分为两组,观察组55例,对照组55例,观察组进行骨盆运动,对照组进行散步运动,直到生产。评估两组产妇的产道损伤程度、分娩控制感(采用分娩控制感量表),并比较两组产妇第一、二、三以及总产程所用时间、胎儿体重以及妊娠结局。结果观察组0度损伤、Ⅰ度裂伤患者占比高于对照组,差异有统计学意义(P<0.05),观察组Ⅱ度裂伤患者占比低于对照组,差异有统计学意义(P<0.05),观察组Ⅲ度裂伤及会阴侧切患者占比与对照组比较,差异无统计学意义(P>0.05);观察组产妇分娩控制感评分为(172.36±13.46)分,对照组产妇分娩控制感评分为(136.58±10.52)分,观察组产妇分娩控制感评分高于对照组,差异有统计学意义(t=15.533,P<0.001);观察组产妇分娩时间第一产程、第二产程、第三产程以及总产程时间均短于对照组,差异有统计学意义(P<0.05);观察组新生儿体重(3.56±0.46)kg,低于对照组新生儿体重(3.75±0.57)kg,两组比较差异无统计学意义(t=1.924,P=0.057);观察组产妇自然分娩人数多于对照组,差异有统计学意义(P<0.05),剖腹产与产钳术均少于对照组,差异有统计学意义(P<0.05)。结论孕晚期骨盆运动能够提高初产妇产力,缩短产程时间,有助于减少产道损伤,增加产妇分娩控制感,减少剖腹产和产钳术的发生率,对初产妇的分娩过程有积极意义。
Objective To explore the effects of pelvic exercises in the third trimester of pregnancy on primipara’s labor force,birth canal,fetus and other delivery factors and pregnancy outcome.Method Select primiparous women who were in the third trimester of pregnancy in our hospital from January 2020 to January 2021,and divided them into 2 groups according to the random number table method,55 cases in the observation group and 55 cases in the control group.The observation group performed pelvic exercises,and the control group performed walking exercises,until delivery.To evaluate the degree of birth canal damage and the feeling of control of the delivery(using the delivery control scale),and compare the first,second,third and total labor time,fetal weight and pregnancy outcome of the two groups.Results The proportion of patients with grade 0 injury and gradeⅠlaceration in the observation group was higher than that in the control group,The difference was statistically significant(P<0.05).The proportion of patients with gradeⅡlaceration in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the proportion of patients with gradeⅢlaceration and lateral perineal resection in the observation group compared with the control group(P>0.05).The score of childbirth control in the observation group was(172.36±13.46),the score of maternal sense of delivery control in the control group was(136.58±10.52),the score of maternal sense of delivery control in the observation group was higher than that in the control group,the difference was statistically significant(t=15.533,P<0.001).The delivery time of the first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05);the weight of newborns in the observation group was(3.56±0.46)kg,which was lower than that in the
作者
茹珺
RU Jun(Department of Obstetrics and Gynecology,Nanyang Wancheng first people's Hospital,Nanyang Henan 473001,China)
出处
《临床研究》
2021年第12期192-195,共4页
Clinical Research
关键词
骨盆运动
初产妇
分娩要素
pelvic exercise
primipara
essentials of childbirth
