探讨自由体位提高自然分娩率以及降低剖宫产的临床有效性

Study on the Clinical Effectiveness of Free Posture in Improving the Natural Delivery Rate and Reducing Cesarean Section

目的研究分析自由体位提高自然分娩率以及降低剖宫产的临床有效果。方法随机选取2013年10月—2015年4月期间该院收治的60例初产妇作为主要的研究对象,通过随机数表法将患者随机分为对照组以及研究组,各组产妇30例,研究组产妇使用自由体位方式完成分娩,对照组产则使用常规的卧位方式完成分娩,对两组产妇分娩的结果进行分析对。结果研究组患者自然分娩率为73.33%,剖宫产率为16.67%;对照组患者自然分娩率为50.00%,剖宫产率为50.00%。研究组患者自然分娩率明显高于对照组,研究组剖宫产率明显低于对照组,所以两者差异有统计学意义(P<0.05)。结论提高自然分娩率以及降低剖宫产过程中,使用自由体位就可以办到,同时还可以有效的缩短产程,保障母子的安全,最大程度的降低产后出血量等,值得进一步推广使用。

Objective To research and analyze the clinical effectiveness of free posture in improving the natural delivery rate and reducing cesarean section. Methods 60 cases of primiparas treated in our hospital from October 2013 to April2015 were selected as the main research object and randomly divided into two groups with 30 cases in each, the research group finished delivery by free posture, the control group finished delivery by conventional way of clinostatism, and the delivery results of the two groups were analyzed and compared. Results The natural delivery rate in the research group was obviously higher than that in the control group,（73.33% vs 50.00%）, the cesarean section rate in the research group was obviously lower than that in the control group（16.67% vs 50.00%）and the differences were obvious with statistically significant（P〈0.05）. Conclusion Free posture can successfully improve the natural delivery rate and reduce cesarean section, at the same time, it can effectively shorten production process and protect the safety of mother and child and extremely reduce the postpartum hemorrhage, which is worthy of further promotion and application.