流动人口孕妇应用拉玛泽减痛分娩法的临床效果分析

Clinical analysis of floating population of pregnant women used Lamaze method of childbirth to reduce pain

目的:探讨流动人口孕妇应用拉玛泽减痛分娩法对其分娩过程的影响及意义。方法:采用拉玛泽减痛分娩法的190例流动人口初产妇作为干预组,采用传统分娩法的同期同条件下174例初产妇作为对照组,观察两组产妇产程时间、新生儿窒息率及产后出血、分娩方式的情况。结果:干预组第一产程及总产程时间显著短于对照组(P<0.001),新生儿窒息程度显著低于对照组(P<0.001),产后2、24h阴道平均出血量均显著少于对照组(P<0.001),剖宫产率明显低于对照组(P=0.001)。结论:流动人口孕妇应用拉玛泽减痛分娩法能缩短产程,减少新生儿窒息及产后出血的发生,降低剖宫产率。

Objective：To explore the delivery process effects and significance of the floating population of pregnant women used Lamaze method of childbirth to reduce pain. Methods：190 floating population primiparae who were performed on Lamaze method of childbirth to reduce pain were selected in intervention group,while 174 primiparae who were performed on traditional delivery method during the same period were selected in control group. The stage of labor process,incidence rate of neonatal asphyxia,amount of postpartum hemorrhage and delivery pattern in the two groups were observed. Results：The labor time of the first stage of labor and total stage of labor,the severity of neonatal asphyxia in the intervention group was significantly shorter than the control group （P0.001）. The average amonut of vaginal bleeding within 2 hours and 24 hours postpartum was significantly less than that in the control group （P0.001）. The rate of cesarean section was significantly lower than that in the control group （P=0.001）. Conclusion：Lamaze method of childbirth to reduce pain which used by floating population of pregnant women can shorten the stages of labor,reduce neonatal asphyxia and postpartum hemorrhage,and reduce the cesarean section rate.