无保护会阴助产法对新生儿锁骨骨折的影响

Effects of unprotected perineum midwifery method on the neonatal clavicular fracture

目的探讨无保护会阴助产法对新生儿锁骨骨折的影响。方法选取2010年5月-2013年6月在妇产科自然分娩的产妇700例,随机分为对照组和观察组各350例。对照组采用常规的助产法,观察组采用无保护会阴助产法,观察2组新生儿锁骨骨折发生率。结果观察组产妇会阴侧切率明显低于对照组,2组软产道损伤、产后出血及会阴预后情况比较,差异无统计学意义。观察组新生儿锁骨骨折比例(1.43%)低于对照组(4.29%)。观察组产妇对助产的满意程度明显高于对照组。结论无保护会阴助产法可降低新生儿锁骨骨折发生率,符合自然分娩的规律。

Objective To explore the influence of unprotected perineum midwifery method for neonatal clavicular fracture .Methods Seven hundred pregnant women with natural labor in obstetrics-gynecology of our hospital from May 2010 to June 2013 were randomly divided into control group （n= 350）and observation group（n= 350） .The control group was given conventional midwifery method ,the observation group was given unprotected perineum midwifery method . The rate of neonatal clavicular fracture in 2 groups were observed .Results Episiotomy rate in the observation group was higher than that in the control group .There was no significant difference of birth canal injuries , postpartum hemorrhage , prognosis between 2 groups . Clavicle fracture rate in the observation group was lower than that in the control group （1.43% vs 4 .29% ） ,and the satisfaction degree was significanfly higher than that in the control group . Conclusion The method of unprotected perineum midwifery can reduce the incidence of neonatal clavicular fracture ,it′s worthy of clinical promotion .