孕期产力储备对产程的影响

Effect of labor force reserve in labor stages

目的 怀孕后进行产力储备训练 ,分娩时观察产力对各产程和新生儿出生时状况的影响。方法 根据妊娠早、中、晚期不同的生理特点设计出了孕早、中、晚期保健操 ,对协助子宫收缩的肌群有目的地进行锻炼。分娩时观察总产程、第二产程时间、产后 2小时出血量和自然分娩率、剖宫产率和新生儿Apgar氏评分情况。结果 试验组总产程、第二产程时间 ,第二产程屏气次数、产后 2小时出血量及剖宫产率均明显低于对照组。结论 孕期进行产力储备训练可缩短总产程及第二产程时间 ,减轻生产时痛苦 ,降低胎儿窘迫和剖宫产率。

Objective: To observe the effect of labor force reserve exercises on the whole stages of delivery and the condition of the new-born. Methods:Setting-up exercises were designed respectively according to different physiological features of the early, middle and late stages of pregnancy so as to build up the strength of the muscle groups that would help uterine contraction. The cesarean and natural delivery rates, the time for the whole labor stages, especially for the second stage, the times of holding the breath, the assistant way of delivery, the Apgar average condition of the new-born, and the amount of postpartum hemorrhage were all observed. Results: The time for the whole labor stages, especially for the second stage, the times of holding the breath, and the amount of postpartum hemorrhage for two hours were less in the experiment group than in the control group. And the suffocation rate of the new-born and the caesarean birth rate were also reduced in the experiment group. Conclusion: Labor force reserve exercises during the pregnancy can shorten the whole labor stages, especially the second stage, relieve labor pain, reduce the distress and suffocation rates of the new-born and the caesarean birth rate.