分娩镇痛联合自由体位分娩对初产妇分娩结局的影响

Effect of labor analgesia combined with uncontrolled body position on the outcome of delivery in primiparas

目的:探讨分娩镇痛联合自由体位分娩初产妇分娩结局的影响。方法:将自愿接受连续硬膜外分娩镇痛的181例初产妇随机分为观察组89例和对照组92例,观察组采用分娩镇痛联合自由体位分娩,对照组采用分娩镇痛联合传统体位分娩。比较两组产妇分娩方式、胎儿娩出方式、各产程时长、缩宫素使用率、会阴侧切和母婴并发症情况。结果:观察组顺产率明显高于对照组,阴道内徒手转胎头率、缩宫素使用率均低于对照组,差异有统计学意义(P<0.05);观察组第一产程、第三产程时长均明显短于对照组,差异有统计学意义(P<0.05,P<0.01);观察组会阴侧切率明显低于对照组,会阴损伤程度明显轻于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论:在分娩镇痛基础上采用自由体位,可缩短产程,促进自然分娩,值得推广使用。

Objective： To explore the effect of labor analgesia combined with uncontrolled body position on the outcome of delivery in primiparas. Methods： 181 primiparas who voluntarily received continuous epidural analgesia were divided into the observation group（ n =89） and the control group（ n = 92） at random. The labor analgesia combined with uncontrolled body position was adopted in the observation group and the labor analgesia combined with traditional delivery position was implemented in the control group. The mode of delivery,the duration of labor,usage of oxytocin,episiotomy and maternal complications were compared between the two groups. Results： The rate of virginal delivery was significantly higher in the observation group than the control group and the usage of oxytocin was less in the observation group than the control group（ P〈0. 05）; the duration of the first and third birth process was significantly shorter in the observation group than the control group（ P〈0. 05,P〈0. 01）; the cases of episiotomy were significantly fewer in the observation group than the control group（ P〈0. 05,P〈0. 01）. Conclusion： The labor analgesia combined with uncontrolled body position can shorten the duration of labor and promote natural delivery.