会阴无保护接生126例临床研究

Clinical Study of 126 Unprotected Perineum Delivery Cases

目的探讨会阴无保护接生在正常分娩中的临床效果及其对母婴的影响。方法选取2015年7月至2015年12月在我院产科符合经阴道分娩的126例初产妇。经患者的知情同意和自主选择分为观察组68例和对照组58例。观察组在会阴无保护状态下进行分娩,对照组保护会阴进行分娩。比较两组产妇产程时间、会阴裂伤及侧切率、新生儿窒息、产后抗生素使用率等情况。结果观察组产程(9.32±1.13)h,比对照组(12.43±1.62)h短,P<0.05;观察组会阴部Ⅰ度裂伤多于对照组(69.12%VS 10.34%,P<0.05),而观察组会阴侧切术为19.11%(13/68)低于对照组的74.13%(43/58)(P<0.05);观察组产后抗生素使用率明显低于对照组的(23.52%VS 89.66%,P<0.05)。结论会阴无保护接生术更贴近自然分娩规律,产妇会阴裂伤及侧切率和产后抗生素使用率低,值得临床推广。

Objective To investigate the clinical effect of the delivery method without perineum protection in normal pregnant women and its influence on mother and infant. Methods From July 2014 to December 2014,126 cases of primiparae who can delivery by vaginal delivery in our hospital were selected.According to the informed consent of the patients as well as the independent choice,126 cases were divided into the observation group of 68 cases without perineum protection,the control group of 58 cases with perineum protection. The maternal labor time,perineal laceration,rate of episiotomy,neonatal asphyxia,and postpartum antibiotic us rate were compared in two groups. Results The delivery process of observation group（ 9. 32 ± 1. 13） h were shorter than that of the control group（ 12. 43 ± 1. 62） h（ P〈0. 05）. The observation group was moreⅠdegree perineal laceration than that of the control group（ 69. 12%VS 10. 34%,P〈0. 05）,while the episiotomy during the delivery process in observation group were 19. 11%（ 13 /68） lower than that of control group 74. 13%（ 43 /58）（ P〈0. 05）. The antibiotic use rate in postpartum was significantly lower in observation group than that of the control group（ 23. 52% VS 89. 66%,P〈0. 05）. Conclusion Unprotected perineum delivery was closer to the rules of natural childbirth. It was worthy of clinical application because it significantly reduced perineal laceration,rate of episiotomy,and antibiotic use rate in postpartum.