摘要
目的:总结经阴道顺产初产妇分娩创伤的危险因素并分析预防干预措施。方法:回顾性分析2019年1月至2021年12月于本院行无保护会阴接生法分娩的80名经阴道顺产初产妇临床资料,依据有是否发生分娩创伤分为未发生分娩创伤的对照组50名与发生分娩创伤的分娩创伤组30名,对比两组的基本资料后采用Logistic回归分析法对经阴道顺产初产妇分娩创伤的危险因素进行总结。结果:两组产妇的年龄、孕次、学历水平、胎方位、缩宫素使用与否比较,差异无统计学意义(P>0.05),产程、新生儿体质量、产前有无会阴水肿、助产士工作年限比较,差异有统计学意义(P<0.05);Logistic回归分析结果提示:新生儿体质量≥4000g、产前会阴水肿、助产士工作年限<1年为经阴道顺产初产妇分娩创伤的独立危险因素(OR:4.183、4.730、5.366,P<0.05)。结论:新生儿体质量≥4000g、产前会阴水肿、助产士工作年限<1年为经阴道顺产初产妇分娩创伤的独立危险因素,根据初产妇实际情况决定分娩方式、预先按摩与温敷会阴部、强化低年资助产士培训为预防经阴道顺产初产妇分娩创伤发生的重要措施。
Objective:To summarize the risk factors of labor trauma in primipara with vaginal delivery and analyze preventive intervention measures.Methods:The clinical data of 80 primiparas who underwent unprotected perineal delivery in our hospital from January 2019 to December 2021 were retrospectively analyzed.A total of 30 children in the labor trauma group were compared with those in the labor trauma group.After comparing the basic data of the two groups,the Logistic regression analysis method was used to summarize the risk factors of labor trauma in primiparas through vaginal delivery.Results:There was no significant difference between the two groups in terms of age,pregnancy,educational level,fetal position,and use of oxytocin(P>0.05).Compared with the number of years,the difference was statistically significant(P<0.05);Logistic regression analysis showed that:neonatal weight≥4000g,prenatal perineal edema,and working years of midwives<1 year were independent risk factors for labor trauma in primiparas(OR:4.183,4.730,5.366,P<0.05).Conclusion:Neonatal weight≥4000g,prenatal perineal edema,and working years of midwives<1 year are independent risk factors for labor trauma in primipara.The annual subsidized obstetrician training is an important measure to prevent the occurrence of labor trauma in primipara.
作者
谢雪
Xie Xue(Delivery Room,Second Hospital of Xuzhou Mining Group,Xuzhou Jiangsu,221011,China)
出处
《中外女性健康研究》
2022年第16期5-7,26,共4页
Women＇s Health Research
