拉玛泽呼吸法在自然分娩中的临床效果观察

Observation on clinical effect of Lamaze breathing training in natural childbirth

目的观察拉玛泽呼吸法在自然分娩中的临床效果。方法将318例初产妇随机分成观察组和对照组,各159例。观察组孕妇自孕28周坚持每天进行拉玛泽呼吸训练;对照组孕妇未进行拉玛泽呼吸训练。观察两组的分娩结局、各产程时间、产后并发症情况、新生儿Apgar评分。结果观察组顺产率为88.7%,对照组顺产率为79.2%,两组顺产率差异具有统计学意义(c2=5.254,P=0.022)。两组顺产产妇第一产程时间、第二产程时间、第三产程时间及总产程时间差异均有统计学意义。观察组各产程时间均少于对照组。观察组产妇软产道裂伤及胎儿窘迫发生率(10.6%,4.3%)均低于对照组(21.4%,11.1%),差异具有统计学意义。结论拉玛泽呼吸法可有效降低剖宫产率,获得良好的妊娠结局,提高母婴安全和产科质量,可以作为产前教育项目向临床推广应用。

Objective To observe the clinical effect of Lamaze breathing in natural childbirth.Methods 318 cases of primiparas were randomly divided into observation group and control group,each of 159 cases. Observations group of pregnant women from 28 weeks of pregnancy insist on Lamaze breathing training every day; pregnant women in the control group were not Lamaze breathing training. Two groups were observed in birth outcomes,the labor time,postpartum complications,Apgar score. Results The rate of vaginal delivery was 88. 7% in observation group and the control group the rate of vaginal delivery was 79. 2%,the difference between the rate of vaginal delivery of two groups was statistically significant（ c2= 5. 254,P = 0. 022） The difference between the first stage of labor,the second stage of labor time,the third stage of labor time and the total labor time of two groups were statistically significant. The observation group each labor time was less than in the control group. The incidence of soft birth canal laceration and fetal distress in the observation group（ 10. 6%,4. 3%） were lower than the control group（ 21. 4%,11. 1%）,the difference was statistically significant.Conclusions Lamaze breathing training can effectively reduce the cesarean section rate,get a good pregnancy outcome,and improve maternal and child safety and the quality of Obstetrics,it can be used as a prenatal education project.