无保护会阴分娩在减轻会阴撕裂与降低会阴侧切率的效果分析

Analysis of the Effect of Unprotected Perineum Delivery in Reducing Perineal Laceration and Reducing the Rate of Perineal Lateral Resection

目的分析无保护会阴分娩在减轻会阴撕裂与降低会阴侧切率的效果。方法选择罗定市人民医院产科2018年8月至2019年10月接生的144例产妇为研究对象,随机分为观察组72例和对照组72例。观察组采用无保护会阴法接生,对照组采用传统会阴保护法接生。比较两组会阴裂伤、会阴侧切率、会阴完整率、第二产程时间、产后2h出血量、产程疼痛。结果观察组中、重度裂伤轻于对照组(P<0.05),观察组会阴侧切率低于对照组(P<0.05),观察组会阴完整率高于对照组(P<0.05),观察组第二产程时间与对照组无明显差别(P>0.05),观察组产后2h出血量低于对照组(P<0.05),观察组产程中、重度疼痛轻于对照组(P<0.05)。结论无保护会阴分娩可以减轻会阴撕裂,降低会阴侧切率,减少产后出血,有利于促进自然分娩。

Objective To analyze the effect of unprotected perineal delivery in reducing perineal laceration and reducing the rate of perineal incision.Methods A total of 144 women who were delivered in the obstetrics department of Luoding People’s Hospital from August 2018 to October 2019 were selected as the research objects,and they were randomly divided into observation group 72 cases and control group 72 cases.The observation group was delivered by unprotected perineal method,and the control group was delivered by traditional perineal method.The perineal laceration,perineal incision rate,perineal intact rate,time of the second stage of labor,2h postpartum hemorrhage,and labor pain were compared between the two groups.Results The moderate and severe lacerations in the observation group were lighter than those in the control group(P<0.05).The perineal lateral resection rate in the observation group was lower than that in the control group(P<0.05).The perineum intact rate in the observation group was higher than that in the control group(P<0.05).There was no significant difference between the second stage of labor and the control group(P>0.05).The 2h postpartum hemorrhage in the observation group was lower than that in the control group(P<0.05).The middle and severe pain in the observation group was lighter than that in the control group(P<0.05).Conclusion Unprotected perineal delivery can reduce perineal laceration,reduce the rate of perineal lateral resection,reduce postpartum hemorrhage,and promote natural birth.