第二产程外阴湿热敷按摩对产妇分娩的影响

The effect of hydropathic and hot compress combined massage to delivery in second stage of labor

目的：探讨第二产程外阴湿热敷按摩对产妇分娩的影响。方法：将选取2012年5月～2013年3月符合正常分娩条件的初产妇400例随机等分为试验组和对照组,对照组按常规法接生;试验组在此基础上,产妇宫口开全后进行外阴湿热敷按摩,观察两组第二产程时间、宫缩痛程度、会阴裂伤程度及会阴侧切率、产后会阴切口疼痛情况、住院天数。结果：两组产妇第二产程时间比较,差异无统计学意义（P＞0.05）。与对照组比较,试验组产妇宫缩疼痛程度、产后切口疼痛程度明显减轻,会阴撕裂伤、会阴侧切率降低,差异均有统计学意义（P〈0.001）,试验组住院天数短于对照组,差异有统计学意义（P〈0.05）。结论：第二产程外阴湿热敷按摩提高了产时护理质量,减轻宫缩痛程度,降低会阴裂伤程度及会阴侧切率,减轻产后第1,2天会阴伤口疼痛,缩短了住院天数。

Objective： To investigate the effect of hydropathic and hot compress combined message to delivery in second stage of labor. Methods： Primiparas who would be and meet the criteria for normal delivery were randomly divided into experimental group and control group,each with 200 cases. The control group used conventional delivery method,while the experimental group used hydropathic and hot compress combined message besides conventional delivery method. The second stage of labor time,the extent of contractions pain,the degree perineal laceration and episiotomy rates,postpartum pain at first and second day,the hospital stay. Results： The maternal second stage times in two groups were not statistically significant（ P〉0. 05）. Compared with the control group,the maternal uterine pain,postpartum pain at first and second day in the experimental group significantly reduced,perineal lacerations and episiotomy rate is lower,the difference was statistically significant（ P〈0. 05）. And hospitalization days in the experimental group was shorter than the control group, the difference was statistically significant（ P〈0. 05）. Conclusion： Hydropathic and hot compress combined message to delivery in second stage of labor can improve the quality of nursing,reduce the extent of the pain of contractions,reducing the degree perineal laceration and episiotomy rates,reduce postpartum pain at first and second day,shorter hospital stay.