摘要
目的:探讨垂直体位联合侧卧位对促进自然分娩的效果。方法:选取2020年3-10月在本院分娩的60例单活胎妊娠产妇为研究对象,按照随机数字表法分为对照组(n=30)和观察组(n=30)。对照组产妇在宫口全开后采用传统仰卧位分娩,观察组产妇在宫口全开后采用站立位、半坐位、蹲位三种垂直体位联合侧卧位分娩。比较两组分娩方式、第二产程时长、产后2 h出血量、新生儿Apgar评分、新生儿窒息率、会阴损伤程度、会阴侧切率、舒适度及满意度。结果:观察组普通顺产率83.3%,高于对照组60.0%,中转剖宫产率0低于对照组16.7%,差异均有统计学意义(P<0.05)。观察组第二产程时长(39.67±8.38)min、产后2 h出血量(186.37±24.15)mL、新生儿窒息率0,均优于对照组(48.34±11.25)min、(216.74±27.92)mL、13.3%(P<0.05)。观察组会阴Ⅱ度裂伤率6.7%、会阴侧切率6.7%,均低于对照组26.7%、30.0%(P<0.05)。观察组产妇舒适度70.0%、满意度96.7%,均高于对照组43.3%、80.0%(P<0.05)。结论:垂直体位联合侧卧位有助于促进自然分娩,缩短第二产程时长,降低母婴并发症的风险,是一种安全有效的分娩体位方式。
Objective:To explore the application effect of vertical position combined with lateral position for promoting natural delivery.Method:A total of 60 cases of singleton pregnancy in our hospital from March to October 2020 were selected as the research objects.They were randomly divided into the control group (n=30) and the observation group (n=30).The control group was given birth in traditional supine position after full opening of uterine orifice,while the observation group was given birth in standing position,half sitting position and squatting position combined with lateral position after full opening of uterine orifice.The mode of delivery,duration of the second stage of labor,amount of postpartum hemorrhage,neonatal Apgar score,neonatal asphyxia rate,perineal injury degree,perineal lateral resection rate,comfort and satisfaction were compared between two groups.Result:The rate of normal birth rate in the observation group was 83.3% higher than 60.0% in the control group,and the rate of caesarean section was 0,lower than 16.7% in the control group,the differences were statistically significant (P<0.05).The duration of the second stage of labor (39.67±8.38) min,postpartum 2 h blood loss (186.37±24.15) mL,neonatal asphyxia rate 0 in the observation group were better than (48.34±11.25) min,(216.74±27.92) mL,13.3% in the control group (P<0.05).The rate of perineal Ⅱ degree laceration (6.7%) and lateral incision (6.7%) in the observation group were lower than 26.7%,30.0% in the control group (P<0.05).The comfort level and satisfaction of maternal in the observation group were 70.0% and 96.7%,respectively,higher than 43.3% and 80.0% in the control group (P<0.05).Conclusion:Vertical position combined with lateral position can promote natural delivery,shorten the second stage of labor,and reduce the risk of maternal and infant complications,it is a safe and effective delivery position.
作者
朱娉怡
梁晓燕
陈敬鹰
甄丹彤
谭燕玲
ZHU Pingyi;LIANG Xiaoyan;CHEN Jingying;ZHEN Dantong;TAN Yanling(Taishan People’s Hospital,Taishan 529200,China;不详)
出处
《中国医学创新》
CAS
2021年第32期104-107,共4页
Medical Innovation of China
基金
江门市科技局计划项目(江科[2020]58号-2020YLI005)。
关键词
垂直体位
侧卧位
自然分娩
新生儿窒息
舒适度
Vertical position
Lateral position
Natural delivery
Neonatal asphyxia
Comfort
