体位联合乳头刺激治疗胎头位置异常协调性宫缩乏力的观察

Observation on body position combined with nipple stimulation in treatment of hypotonic uterine inertia caused by abnormal position of fetal head

目的观察体位联合乳头刺激治疗胎头位置异常引起的协调性宫缩乏力的效果。方法将胎位异常(枕横位、枕后位衔接)且已确诊进入产程,并发宫缩乏力的126例初产妇随机分成观察组和对照组各63例,对照组采取常规产程护理方法,观察组在对照组方法的基础上采取胎背同侧侧俯卧体位联合乳头刺激的方法,比较两组产妇产程、分娩方式、产后并发症及产程用药的差异。结果观察组产妇第一、二产程时间明显短于对照组,剖宫产率、产后出血率、胎儿宫内窘迫发生率、新生儿窒息发生率、缩宫素及镇静剂使用率均少于对照组,差异有统计学意义。结论体位联合乳头刺激可有效改善胎头位置异常引起的协调性宫缩乏力。

Objective To observe the effect of body position combined with nipple stimulation in treatment of hypotonic uterine inertia caused by abnormal position of fetal head.Method Divide 126 primipara who are diagnosed as abnormal fetal position（occipitotransverse position and occiput posterior position connection）and with uterine inertia in labor into observation group（n=63）and control group（n=63）randomly.Primipara in control group receive routine labor nursing care.Primipara in observation group receive ipsilateral prone position combined with nipple stimulation based on routine nursing care.Compare the labor,delivery mode,postpartum complication and drugs used in labor of two groups.Result The first and second stage of labor are obviously shorter in observation than in control group.Rates of cesarean section and postpartum hemorrhage,incidence of fetal distress and neonatal asphyxia,usage rate of oxytocin and sedatives are all lower in observation group than in control group.The difference is significant.Conclusion Body position combined with nipple stimulation can relieve hypotonic uterine inertia caused by abnormal position of fetal head.