拉玛泽呼吸减痛法结合产时会阴按摩法在减少会阴损伤中的应用效果

Effect of Lamaze breathing combined with perineal massage during labor on reducing maternal perineal laceration

目的：探讨拉玛泽呼吸减痛法与会阴按摩法相结合在正常分娩中对减少会阴损伤的效果。方法选择2012年3-6月在我院产检、分娩，孕周≥28周，无剖宫产指征的400例孕产妇作为研究对象，随机分为实验组和对照组各200例。实验组运用拉玛泽呼吸法与会阴按摩法相结合的方法，对照组以常规接产，比较两组产妇产时会阴部情况。结果实验组会阴完整率明显高于对照组，产妇会阴侧切率、Ⅱ°裂伤的发生率、第二产程时间及产后2 h出血量、新生儿窒息发生率明显低于对照组，差异均有统计学意义（ P〈0.05）。结论拉玛泽呼吸减痛法与产时会阴按摩法相结合，在分娩中能有效降低会阴侧切率，提高会阴完整率，缩短第二产程，减少产后出血量。

Objective To explore the effect of Lamaze breathing combined withperineal massage during labor on reducing maternal perineal laceration. Methods A total of 400 cases of maternal vaginal deliveries in our hospital conditions, were randomly divided into experimental group and control group. The experimental group used Lamaze breathing and perineum massage combining method, the control group adopted conventional confinements, the two groups of mothers were compared with maternal perineal injury. Results The experimental group intact perineum rate was significantly better （P〈0. 05）;and episiotomy rate , maternal II ° laceration, the incidence of the second stage of labor and the postpartum 2 h amount of bleeding and the rate of neonatal asphyxia in the experimental group was signifi-cantly lower than that in the control group （ P〈0. 05 ） . Conclusions The Lamaze breathing method combined with per-ineal massage wears method application can effectively reduce the rate of episiotomy, intact perineum rate, shorten the second stage of labor and reduce postpartum hemorrhage.