无创分娩应用于初产妇的临床观察

Clinical observation of noninvasive delivery for primiparas

目的探讨无创分娩应用于初产妇的临床效果。方法选择2014年9-12月在本院分娩的200例产妇,随机分为实验组和对照组,每组100例。实验组采用无创分娩技术,对照组采用传统会阴保护的方法,比较两组产妇会阴侧切及裂伤情况、产程时间、产后出血和新生儿窒息的情况。结果实验组会阴侧切率为0%,显著低于对照组的82%,（P〈0.05）;实验组的会阴完整率、会阴Ⅰ度裂伤率分别为48%、52%,显著高于对照组的8%、10%（P〈0.05）;实验组的产程时间短于对照组,差异有统计学意义（P〈0.05）;但两组的产后出血及新生儿窒息率差异无统计学意义（P〉0.05）。结论无创分娩可以提高自然分娩率,降低剖宫产率,减少生产过程对产妇的会阴损伤,值得临床推广。

Objective To study the clinical observation of noninvasive delivery apply to primiparas. Methods 200 primiparas delivered in our hospital from September to December 2014 were selected, and they were randomly divided into experiment group and control group,with 100 cases in each group.experiment group was given noninvasive delivery technology,control group was given perineal protection of conventional methods.Perineal side cut and laceration,labor time,postpartum hemorrhage and neonatal asphyxia rate between two groups was compared. Results Episiotomy rate in experiment group（0%） was significantly lower than that of control group（82%）（P〈0.05）.In the experiment group,perineal integrity was 48%,perineal Ⅰ degree laceration rate was 52%,which was significantly higher than those of control group（8%,10%）（P〈0.05）.Labor time in experiment group was shorter than that of control group,the difference was significant（P 0.05）,but postpartum hemorrhage and neonatal asphyxia rate in two groups difference has no significant（P 0.05）.Conclusion noninvasive delivery can raise rates of spontaneous delivery, decrease rates of Cesarean section, reduce harm to perineum of puerperas in the process of delivery,it is worthy of clinical promotion.