无保护分娩技术在自然分娩中的实施效果分析

Effects of Unprotected Delivery Technology in Natural Childbirth

目的：探讨无保护分娩技术在自然分娩中的实施效果。方法选取潍坊医学院附属医院2013年8月～2014年9月在院分娩初产妇778例作为研究对象，按随机抽签法分为观察组（395例）和对照组（383例），观察组在无保护会阴状态下分娩，对照组采用传统方法保护会阴接产。结果观察组会阴切开率及会阴裂伤程度明显低于对照组，观察组产后舒适度优于对照组，两组比较差异均有统计学意义（ P＜0．05）；两组产妇第二产程时间及新生儿窒息的发生率差异无统计学意义，（均P＞0．05）。结论会阴无保护接生可降低会阴切开率，减轻会阴裂伤程度，提高产妇产后舒适度，值得临床推广应用。

Objective To explore effects of unprotected delivery technology in natural childbirth .Methods Seven hundred and seventy-eight cases of pregnant women in affiliated hospital of weifang medical university between august 2013 and september 2014 were selected as the research objects .They were divided into observation group 395 ca-ses and control group 383 cases according to the random draw method .Childbirth of observation group were in no protec-tion of perineum ,and childbirth of control group were under protection of the perineum with traditional method .Results Episiotomy rateand laceration degrees of observation group was obviously lower than that of the control group .The post-partum comfort of observation group was better than that of control group .The difference between the two groups had sta-tistical significance （ P〈0.05） .But there was no statistical significance between the differences of the second labor time and the incidence rate of neonatal asphyxia in the two groups （P〉0.05）.Conclusion The unprotected delivery of peri-neum can reduce the rate of episiotomy ,the damage of perineal Laceration and improve postpartum comfort of maternal . In addition,it has a positive effect to improve the quality of obstetrical service .So it is worthy of clinical application .