拉玛泽呼吸法在初产妇产程中的应用和效果

Application and Effects of Lamaze Breath on Delivery of Primiparous Parturients

目的探讨拉玛泽(Lamaze)呼吸法在产程中的效果。方法随机选择121例孕期门诊宣教中学习拉玛泽呼吸法的初产妇为训练组,同期120例孕期门诊宣教中未经拉玛泽呼吸法训练的初产妇为对照组。分别对分娩方式、产程时间、分娩时疼痛的耐受程度、新生儿窒息及产后出血的发生率进行比较。结果训练组自然分娩率高于对照组(P<0.01),第1产程、第2产程时间比对照组短(P<0.01),孕妇对疼痛耐受程度增加(P<0.01),新生儿窒息及产后出血发生率减少(P<0.05)。结论拉玛泽呼吸法镇痛效果显著,能缩短产程,降低剖宫产率,减少新生儿窒息及产后出血的发生率。

Objective To investigate the effect of Lamaze breath on delivery. Methods A total of 120 primiparous parturients with Lamaze breath training were randomly selected as the training group. Simultaneously, 120 pregnant women without Lamaze breath training were enrolled as the control group. The delivery pattern, labor stage, pain tolerant degree to the labor, rate of asphyxia neonatorum and postpartum hemorrhage were compared between the two groups. Results The rate of natural delivery was apparently higher in the training group than that of the control group（P〈0.01）. The duration of the first stage and the second stage were apparently shorter in the training group than those of the control group（P〈0.01）. The pain tolerance degree to the labor was apparently increased in the training group（P〈0.01）. The incidence rate of asphyxia neonatorum and postpartum hemorrhage were decreased in the training group（P〈0.05）. Conclusion Lamaze breath had a noticeable effect of analgesia and could shorten labor stage,lower the rate of cesarean section and decrease the rate of asphyxia neonatorum and postpartum hemorrhage.