产妇自由体位对分娩结局的影响

Effect of Free Position in Delivery Women on the Delivery Outcome

目的探讨在陪伴分娩过程中产妇采取自由体位对其分娩结局的影响。方法选择2015年6—12月在该院分娩的产妇600例,依据产妇临产后自愿选择的原则分为观察组和对照组各300例,观察组实施自由体位待产与分娩,对照组采取传统体位待产与分娩,比较两组产妇的生产时间、胎方位、宫颈水肿、催产素的使用、分娩方式、产后2 h出血率、新生儿窒息率。结果两组产妇的潜伏期、活跃期、第二产程时间、胎方位异常、催产素的使用(观察组11、25例,对照组34,52例)、宫颈水肿(观察组18例,对照组32例)、阴道助产、中转剖宫产(观察组6、12例,对照组11、30例),比较差异有统计学意义(P<0.05);观察组产妇产后出血率低于对照组,但差异无统计学意义(P>0.05)。观察组新生儿窒息率与对照组比较差异无统计学意义(P>0.05)。结论自由体位分娩较传统体位分娩更加科学合理,能缩短生产时长,减轻产妇的痛苦,减少产后出血率,降低手术产及减少产程中干预,有利于母婴健康。

Objective To discuss the effect of free position adopted by the delivery women on the delivery outcome in accompanying childbirth. Methods 600 cases of delivery women giving birth in our hospital from June 2015 to December2015 were selected and divided into two groups with 300 cases in each according to the voluntary principle after labor of the delivery women, the observation group adopted the free position for pre-delivery and delivery, and the control group adopted traditional position for pre-delivery and delivery, and the production time, fetal position, cervical edema, use of oxytocin, delivery method, bleeding rate in postpartum 2h and neonatal asphyxia were compared between the two groups.Results The incubation phase, active phase and second birth course in the observation group obviously shortened compared with those in the control group, the abnormal fetal position, use of oxytocin, cervical edema, vaginal delivery and transit cesarean section occurred to 11 cases, 34 cases, 18 cases, 6 cases and 11 cases respectively in the observation group and 25 cases, 52 cases, 32 cases, 12 cases and 30 cases in the control group, and all differences had statistical significance（P〈0.05）; the postpartum bleeding rate in the observation group was lower than that in the control group, and the difference had no statistical significance（P〉0.05）, and the comparison in the neonatal asphyxia between the observation group and the control group had no statistical significance（P 〉0.05）. Conclusion Compared with the traditional position, the free position is more scientific and rational, which can shorten the production time, relieve pains of the delivery women, reduce the postpartum bleeding rate, operation ratio and the intervention in the labor process, which is conducive to the maternal and child health.