分娩方式的不同对母婴身心健康的影响分析

Analysis on the effects of different delivery modes on physical and psychological health of mothers and infants

目的:探讨不同分娩方式对产妇产后出血量、母乳时间以及围生儿体质的影响,为选择对母婴身心健康伤害程度最低的分娩方式提供依据。方法:选择该院自2011年收治的行剖宫产手术分娩的初产妇120例,作为对照组,选择同一时期阴道顺产分娩的初产妇120例作为观察组,对两种分娩方式对产妇产后出血量、母乳时间以及围生儿体质的影响进行统计分析。结果:观察组与对照组产妇的产后出血量分别为(112.5±45.8)ml、(233.2±67.8)ml,两组比较有统计学差异(t=3.437,P<0.05);对照组母乳开始时间为(49.89±6.87)h,明显晚于观察组(36.52±5.75)h的母乳时间(t=3.587,P<0.05);阴道顺产组产妇产后并发症的发生率明显低于剖宫产组(P<0.05),新生儿胆红素指数及Apgar评分的发生率低于剖宫产组(P<0.01)。结论:剖宫产对母婴造成的健康危害远远大于阴道顺产方式,医护人员应谨慎选择产妇分娩方式,建议产妇选择对自身及婴儿健康程度损伤性小的分娩方式,从而利于母婴的健康。

Objective： To explore the effects of different delivery modes on the amount of postpartum hemorrhage of parturient women, the time of breast feeding and physical fitness of perinatal infants, provide a basis for choosing a delivery mode which has minimal injury to physical and psychological health of mothers and infants. Methods ： One hundred and twenty primiparous women who underwent ce- sarean section in the hospital from 2011 were selected as control group, one hundred and twenty primiparous women who adopted vaginal delivery in the hospital during the same period were selected as observation group, the effects of two kinds of delivery modes on the amount of postpartum hemorrhage of parturient women, the time of breast feeding and physical fitness of perinatal infants were analyzed statistically. Results： The amounts of postpartum hemorrhage of parturient women in observation group and control group were （112. 5 ± 45.8 ） ml and （233.2 ± 67. 8 ） ml, respectively, there was significant difference between the two groups （t = 3. 437, P 〈 0. 05） ; the starting time of breast feeding in control group was （49, 89± 6. 87 ） hours, which was significantly later than that in observation group [ （36. 52 ± 5.75 ） hours], there was significant difference between the two groups （ t = 3. 587, P 〈 0. 05 ） ; the incidence of postpartum complications in observation group was significantly lower than that in control group （ P 〈 0. 05 ） , the bilirubin index and Apgar score of neonates in observa- tion group were significantly lower than those in control group （P 〈 0. 01 ） . Conclusion： The injury of cesarean section to maternal and in- fantile health is far greater than the injury of vaginal delivery, the medical staff should choose delivery modes cautiously and advise parturient women to select a delivery mode which has minimal injury to maternal and infantile health, and the mode should be conducive to maternal and infantile health.