控制胎头娩出速度助产法减少产妇会阴裂伤的临床观察

Clinical Observation of Maternal Perineal Laceration Reduction Control of Fetal Head Delivery Speed Midwifery Law

目的：探讨应用控制胎头娩出速度助产法减少产妇会阴裂伤的临床效果。方法将2013年5月～2014年6月我院收治的68例阴道分娩产妇随机分为研究组和常规组，均为34例；常规组采取阴道保护法实施助产；研究组则采取控制胎头娩出速度法实施助产，对比两组的临床效果。结果研究组的产妇会阴裂伤发生率、裂伤程度均低于常规组，差异有统计意义（P＜0.05）；另外，研究组的平均住院时间、平均住院费用及满意度均优于常规组，差异显著，有统计意义（P＜0.05）。结论为实现人性化分娩，可采取控制胎头娩出速度助产法，能有效降低产妇会阴裂伤发生率，减少住院时间和医疗费用，提高满意度，临床实践意义深远。

Objective To investigate the application of fetal head delivery speed control method to reduce the effect of midwifery clinical maternal perineal laceration. Methods 68 cases of vaginal delivery mothers in our hospital were randomly divided into study group and routine group, were 34 cases; conventional group take the implementation of the law on the protection of vagina midwifery;research group is to take control of fetal head delivery speed method implementation of midwifery, compared the clinical effects of two groups. Results The incidence of maternal perineal laceration, laceration degree were lower than the conventional group, the difference was signiifcant, with statistical signiifcance （P〈0.05. Conclusion In order to realize the humanization of childbirth, can take control of fetal head delivery speed midwifery method, can effectively reduce the incidence of maternal perineal laceration, clinical practical signiifcance.