水中分娩对产妇及新生儿的影响

Effect of Labor in Water on the Mother and Newborn

目的:探讨水中分娩对产妇及新生儿的影响。方法:选择水中分娩的产妇30例作为观察组,均为头位、单胎、初产、无妊娠合并症及并发症。随机抽取同期相同条件的产妇30例作为对照组。对比两组产妇的产程,入水前后的疼痛变化,产后会阴情况,产后出血量,新生儿1分钟及5分钟Apgar评分及是否发生产褥感染。结果:水中分娩组第一产程的活跃期平均时间,产褥感染率,新生儿1分钟及5分钟Apgar评分均无显著性差异(P>0.05)。但第二产程明显短于对照组,入水后疼痛明显减轻,出血量比较差异有显著性意义(P<0.05)。结论:产妇在水中分娩可减轻疼痛,缩短产程,减少出血,对新生儿安全可靠。

Objective：To study the effect of water birth on the puerpera and the newborn.Methods：Thirty puerperas without pregnancy complications,who are going to give the first single birth to fetuses at head position,are chosen as an observation group.Another thirty puerperas with the same conditions are extracted randomly as a control group.Such information will be compared as the course of delivery,changes in pain before and after they enter into water,the situation of perineum and amount of bleeding after delivery,and Apgar evaluation of the newborn after 1 min and 5min respectively.In addition,whether puerperal infection occurs will also be analyzed.Results：In terms of average time of active phase,the rate of puerperal infection and Apgar evaluation of the newborn,there is no significant difference between the observation group and the control group in the first stage of labor（P0.05）.However,the second stage of labor of the observation group is obviously shorter than the control group.What’s more,the puerperas in water birth hurt less after they enter into water and amount of bleeding compared with the control group counts a lot（P0.05）.Conclusion：Water birth can relieve pain,shorten stage of labor and lessen amount of bleeding,which is a safe and reliable way for the newborn.