应用可塑性会阴保护器进行改良接生临床研究

目的:对传统的顺产接生进行改良,应用可塑性会阴保护器代替助产士的右手来保护会阴,避免发生会阴裂伤,使助产士右手更好的与左手配合完成接生工作,防止因长期接生而导致的右手劳损。方法:随机选择阴道分娩产妇600例,并将其分为试验组和对照组,每组各300例。试验组产妇采用根据会阴形状设计的可塑性会阴保护器,在胎头拔露时置于产妇会阴部代替助产士的右手保护会阴,并统计第二产程、会阴裂伤、会阴侧剪切口延裂、新生儿窒息、新生儿产伤的发生率及产后2小时出血量等指标;而对照组采用传统的接生方法。比较两组差异性。结果:两组产妇各项指标无显著性差异,产妇未诉不适感,尤其在脐带绕颈或肩难产等情况下,助产士的右手与左手可很好配合完成接生工作。结论:应用可塑性会阴保护器代替助产士的右手来保护会阴的改良接生法,其操作方便,安全有效。

Objective：The plastically perineum protector can protect perineum to replace right hand of midwife,avoid the perineal laceration.Methods：Test group 300 cases maternal use plastic perineal protection,control group 300 cases using traditional methods.Analyce difference between two groups.Results：The two groups mothers showed no significant statistical difference,maternal discomfort without complaint.Conclusion：In the spontaneous delivery,plastically perineum protector can protect perineum to replace the right hand of midwife.Easy to operate.