自由舒适型体位待产对产妇分娩的影响

The influence of freedom comfortable position on parturition maternity

目的研究自由舒适型体位待产对产妇分娩的影响。方法选取2013年1-9月在本院住院经阴道试产的初产妇1900例，采用随机数字表法将其随机分为观察组和对照组，每组950例。观察组产妇在第一产程采用自由舒适型体位待产，对照组产妇采取传统床上卧位体位待产，两组均在待宫口开全进入第二产程后，回到产床取膀肌截石位直至娩出胎儿。结果观察组第一产程时间和总产程时间均明显短于对照组，差异有统计学意义（P〈0．05）。观察组产妇剖宫产率、胎吸率、产钳率、产后2h阴道出血量、新生儿窒息率均明显低于对照组，差异有统计学意义（P〈0．05）。结论产妇在第一产程中应用自由舒适型体位待产，能够明显缩短产程时间，降低剖宫产率，减少产后2h出血量，降低胎儿窘迫发生率，该体位符合孕产妇身心需求，有利于自然分娩．值得临床开展应用。

Objective To study the effect of freedom comfortable position for expectant mothers giving birth.Methods 1900 cases vaginal trial production of early maternal in our hospital from January to September 2013 were randomly di- vided into observation group and control group,each with 950 cases.Freedom comfortable position was given to observa- tion group in the first stage of labor,traditional supine position in bed to be produced was taken to the control group. bladder muscle lithotomy position was taken to both groups who were to be opened in the whole cervix after entering the second stage of labor,until the expulsion of the fetus.Results The first stage of the production process time and total time in the observation group was significantly shorter than that in the control group,the difference was significant （P〈0.05）. Cesarean section rate,fetal absorption rates,forceps rate,two hours postpartum vaginal bleeding,neonatal asphyxia of the observation group was significantly lower than that of the control group,the difference was significant （P〈0.05）.Conclu- sion Freedom comfortable position using in the first stage of labor,can significantly shorten the time and reduce the rate of caesarean section,the amount of bleeding and the incidence of fetal distress,which can be carried out in clinical ap- plications.