摘要
目的 探讨产妇在第二产程中采取自由体位对分娩效果及舒适瘦的影响。方法 随机将152例初产妇分为观察组77例和对照组75例。观察组产妇在第二产程根据产妇的意愿采取半卧位、侧卧位、蹲位、坐位等自由体位，接生时采用半卧蹲坐位。对照组产妇采取床头抬高30°的截石位分娩。比较2组第二产程的长度及产后的舒适度。结果 观察组第二产程较对照组缩短（P〈0．01），产后双下肢酸痛、麻木不适较对照组显著减轻，舒适度增加。结论 第二产程自由体位可有效缩短产程并缓解分娩体位的不适。
Objective In order to know the effects and comfortable degree when using the uncontrolled body position for pregnant women during the second stage of labor. Methods Divided 152 preg- nant women into the observation group （77 cases） and control group （75 cases） randomly. Uncontrolled body positions according to the wills of pregnant women were used in the observation group, while the routine forcible body position was used in control group. Compared the length of the second stage of labor and the post-labor pains between the two groups. Results The length of the second stage of labor in observation group was significantly shorter than that of in control group, while the post-labor discomfort in the observation group was significantly betterly than that of in control group, P〈0.01. Conclusions Uncontrolled body position can effectively shorten the second stage of labor, and then ameliorate the post-labor discomfort for pregnant women.
基金
美国增进人类健康研究基金（PSBH200551）
关键词
第二产程
体位
分娩
The second stage of labor
Body position
Delivery
