拉玛泽分娩减痛训练法对产程及剖宫产率影响的临床研究

Effect of Lamaze Pain-relieving Delivery Method Training on the Birth Process Time and Cesarean Rate during the Late Pregnant Phase

目的通过助产士对孕晚期孕妇进行拉玛泽分娩减痛技巧的训练,指导孕妇分娩时正确运用,观察拉玛泽分娩减痛法对产程及剖宫产率的影响。方法将2011年3～9月在我院接受拉玛泽分娩减痛训练的300例孕妇为观察组,选择同期分娩的未接受拉玛泽分娩减痛训练的300例孕妇为对照组,比较产程时间、剖宫产率、产后出血、疼痛等。结果除第3产程外,观察组第1、2产程缩短,疼痛减轻,剖宫产率降低,产后出血量少,与对照组比较差异有统计学意义(P<0.05),新生儿Apgar评分高于对照组,差异有统计学意义(P<0.01)。结论拉玛泽分娩减痛法在产程中的应用能有效减轻分娩疼痛,消除恐惧心理,加强宫缩、促进产程、减少产后出血、降低剖宫产率等,是一种简单、无创伤、无不良反应、非药物性减痛的方法。

Objective To observe the effect of Lamaze pain-relieving delivery on the birth process time and Cesarean rate by training the late pregnant phase women with Lamaze pain-relieving delivery technique,and guiding them use it correctly during the delivery.Methods A total of 300 pregnant women were randomly chosen as the observation group,who underwent the Lamaze pain-relieving delivery training before antenatal in Wuxi People′s Hospital from March to September in 2011,while another 300 pregnant women who didn′t undergo Lamaze training were chosen as a control group.The birth process time,the rate of Cesarean,postpartum hemorrhage and ache had been compared between the two groups.Results There were statistically significant differences between the two groups（P0.05）in terms of the first and second labor process,shortened labor process and relieved ache with a low Cesarean rate as well as a little postpartum hemorrhage were seen in the observation group compared to the control group.Neonatal Apgar evaluation of the observation group was significantly higher than that of the control group（P0.01）.Conclusion The application of Lamaze pain-relieving delivery during the birth process can effectively relieve the delivery pains,eliminate the fears,strengthen the uterine contraction,promote the birth process,reduce the postpartum hemorrhage,and lower the Cesarean rate,which is a simple,none trauma,none side effect and none pharmacologic pain relief method.