临产妇第一产程行为反应异常的相关因素影响研究

The Impact Factors of Pregnant Women Abnormal Behavior and Reacts in First Stage

目的探讨临产妇第一产程行为反应异常的相关影响因素。方法将第一产程过程中出现行为和反应异常者列为研究组33例;其余正常反应者列为对照组53例,采用回顾性分析手法,总结和分析产妇心理状态变化,主要包括产妇对宫缩疼痛、担心难产和担心手术三方面进行统计。结果研究组产妇难产占51.52%,对照组产妇难产占11.32%（P〈0.05）;研究组产妇第一产程期宫缩疼痛感为4~5级者占100%,明显强于对照组75.47%（P〈0.05）;研究组产妇担心难产者主要分布于2~5级,对照组分布于0-3级,研究组产妇心理负担明显高于对照组（P〈0.05）;研究组产妇担心会手术开刀分级为4~5级者占有量4.24%,而对照组处于4~5级者为0,两组数据比较具有显著差异（P〈0.05）。结论第一产程的行为反应异常将直接导致产妇难产风险的加大,因此临床医护人员应积极关注产妇在分娩疼痛、心理负压等方面的情绪变化,及时给予心理指导。

Objective To discuss the impact factors of pregnant women abnormal behavior and reacts in first stage.Methods The patients with abnormal behavior and reactions were arranged in study group with 33 cases,and others were arranged in control group with 53 cases.To retrospective review and analysis the changes in mental status,including uterine pain,fear of surgery,worry about dystocia,and so on.Results The rate of dystocia in study group was 51.52% and 11.32% in control group（P0.05）.The contraction pain of patients in study group was 100%,which was higher than control group 75.47%（P0.05）.Patients worrying about dystocia and surgery were more than control group（P0.05）.Conclusion Behavioral responses of the first stage could directly increase the risk of maternal dystocia.Clinical staff should be actively concerned about the maternal in labor pain,mental aspects of negative mood changes,and so on.Staff should give women with abnormal aspects psychological guidance.