胎儿抚触配合拉玛泽对分娩结局的影响

The impact of fetal touching coordinated with Lamaze on childbirth

目的：探讨胎儿抚触配合拉玛泽呼吸分娩减痛法对分娩的影响。方法：选择无绝对剖宫产指征、年龄在21-35岁的初产妇120名为研究对象（研究组）,在孕16-20周进行胎儿抚触训练的基础上,于28-32周后配合拉玛泽呼吸分娩减痛法的练习;同时选择条件相同不加干预者120名初产妇为对照组。分别观察两组产妇的分娩方式、镇痛效果、产程、产后出血以及新生儿Apgar评分情况。结果：研究组第一,第二产程时间短于对照组,VAS疼痛评分低于对照组,自然分娩率高于对照组,Apgar评分优于对照组,两组比较均有统计学意义,P〈0.05。结论：胎儿抚触配合拉玛泽呼吸分娩减痛法可缩短产程,减轻疼痛,提高自然分娩率。

Objective： To explore the impact of fetal touching coordinated with Lamaze in pain relief on childbirth. Methods： Selected 120 at ages of 21- 35 years old primiparas who have no absolute cesarean birth indication as the research（ study group）. After fetal touching trainings during 16- 20 weeks of pregnancy,those objectives have to practice Lamaze breathing birth during 28- 32 weeks. In contrast,another 120 primiparas with the same criteria but no touching interventions are selected as our control group. Two groups were observed in terms of delivery conditions,analgesic effect,labor stages,postpartum hemorrhage,and neonatal asphyxia respectively. Results： Compared these two groups＇ differences in terms of labor stages,labor pain and postpartum hemorrhage（ P〈0. 05）,and variances in terms of delivery conditions and neonatal asphyxia（ P〈0. 05）,there was statistically significant. Conclusion： Fetal touching coordinated with Lamaze could reduce labor stage,decrease delivery pain,and improve natural labor.