水中分娩在基层医院的应用思考

The Application of Water Birth at the Grassroots Level Hospital

目的:探讨水中分娩对分娩过程中疼痛程度、产程时间、产后出血量及新生儿情况,评估其临床应用的价值。方法:抽取水中分娩的产妇120例为水中分娩组,抽取同期经阴道自然分娩的产妇140例为对照组,比较两组产妇的疼痛程度、产程时间、产后24 h出血量及新生儿窒息情况。结果:水中分娩组产妇疼痛程度及产程时间显著少于对照组(P<0.05)。而产后24 h出血量及新生儿窒息情况与对照组比较差异均无统计学意义(P>0.05)。结论:水中分娩可以减轻疼痛、缩短产程,而产后出血量及新生儿窒息并无增加。

Objective： To explore the advantages of water birth during childbirth pain, duration of labor, postpartum hemorrhage and neonatal conditions, assess its value in clinical applications.Method： 120 cases birth mothers were extracted as water delivery group,140 cases of women who natural vaginal delivery in the same period were extracted as the control group. The maternal pain levels, labor time, 24 hours postpartum hemorrhage and newborn asphyxia were compared between the two groups.Result： The maternal pain levels and labor time in the water birth group were significantly less than the control group（P〈0.05）. While there were no significant difference of postpartum hemorrhage after 24 hours and newborn asphyxia between the water birth group and the control group.Conclusion： The water birth can reduce pain, shorten labor, postpartum hemorrhage and newborn asphyxia does not increase.