自由体位分娩对初产妇分娩结局的影响

Influence of labor in liberal position on delivery outcome in primipara

目的探讨自由体位分娩对初产妇分娩结局的影响。方法选取2014年1月-2015年12月我院产科收治3125例初产妇作为研究对象,2015年分娩的1634例初产妇为观察组,2014年分娩的1491例初产妇为对照组。观察组实行自由体位分娩护理,对照组实行传统体位分娩护理,比较两组分娩方式及母婴并发症情况。结果观察组自然分娩率升高,剖宫产率、宫颈裂伤率和会阴侧切率下降,差异有统计学意义（P〈0.05）。结论自由体位分娩有利于纠正枕横位、枕后位转为枕前位,缩短产程,有利于初产妇分娩结局和减轻生殖道损伤,临床效果显著,值得推广。

Objective To explore the influence of labor in liberal position on delivery outcome in primipara. Methods From January 2014 to December 2015,3125 primiparae admitted into our obstetrical department were selected as research objects.There were 1634 primiparae delivered in 2015 were selected as observation group.The rest were chosen as control group.In the observation group,labor in liberal positon during nursing was provided,while in the control group,labor in traditional position during nursing was used.The delivery mode and complications of mother and infant were compared in the two groups. Results In the observation group,spontaneous delivery rate was increased,and rates of caesarean section,cervical laceration,and lateral episiotomy were decreased with statistical differences（P〈0.05）. Conclusion Labor in liberal positon is beneficial to correct occipitotransverse position and occipitoposterior position into occiput anterior position and shorten stages of labor,and is beneficial for delivery outcome in primipara and alleviation of genital tract injury.The clinical effect is remarkable and is worthy of promotion.