摘要
目的:探讨产妇入产房时宫口扩张情况对分娩产程及无痛分娩率的影响。方法:回顾性分析2022年1月—2023年12月九江市妇幼保健院产科收治的92例产妇的临床资料,按照产妇入院时的宫口扩张程度分为观察组(6 cm≤宫口扩张<10 cm,n=38)和对照组(2 cm≤宫口扩张<6 cm,n=54),收集所有产妇的临床资料,包括基本资料[年龄、体重指数(BMI)、孕周、身高、体重等]、无痛分娩情况、分娩方式、产程进展(第一产程、第二产程及第三产程时间)、临床干预情况(包括催产素、抗生素使用、人工破膜)。结果:观察组无痛分娩率低于对照组,差异有统计学意义(P<0.05)。观察组自然分娩率高于对照组,剖宫产率低于对照组,差异均有统计学意义(P<0.05)。观察组第一产程、总产程时间均短于对照组,差异均有统计学意义(P<0.05)。观察组催产素、抗生素使用、人工破膜患者占比均低于对照组,差异均有统计学意义(P<0.05)。结论:入产房时产妇宫口扩张6 cm及以上,可以减少过度的医疗干预和无痛分娩率,缩短产程时间,提高孕妇的自然分娩率。
Objective:To investigate the effect of dilation of the uterine orifice upon admission to the delivery room on delivery process and the rate of painless delivery.Method:Clinical data of 92 parturients admitted to the Obstetrics and Gynecology Department of Jiujiang Maternal and Child Health Hospital from January 2022 to December 2023 were retrospectively analyzed.According to the degree of uterine dilation at admission,the parturients were divided into observation group(6 cm≤uterine dilation<10 cm,n=38)and control group(2 cm≤uterine dilation<6 cm,n=54).Clinical data of all parturients were collected,including basic data[age,body mass index(BMI),gestational age,height,weight,etc.],painless delivery,mode of delivery,labor progression(first stage of labor,second stage of labor and third stage of labor time),and clinical intervention(including oxytocin,antibiotic use,artificial breaking of membranes).Result:The rate of painless delivery in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The natural delivery rate of the observation group was higher than that of the control group,and the cesarean section rate was lower than that of the control group,the difference was statistically significant(P<0.05).The first stage of labor and total labor time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The proportion of patients with oxytocin,antibiotic use and artificial membrane rupture in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion:When entering the delivery room,the dilation of the uterine opening of parturients is enlarged by 6 cm or more,which can reduce excessive medical intervention and painless delivery rate,shorten labor time and improve the natural delivery rate of parturients.
作者
王丽霞
陈荣耀
赵桃艳
WANG Lixia;CHEN Rongyao;ZHAO Taoyan(Department of Obstetrics and Gynecology,Jiujiang Maternal and Child Health Hospital,Jiujiang 332000,China;不详)
出处
《中国医学创新》
CAS
2024年第31期141-144,共4页
Medical Innovation of China
关键词
宫口扩张
分娩产程
无痛分娩
产妇护理
Uterine dilation
Delivery process
Painless delivery
Parturient care
