体位管理在悬垂腹产妇分娩过程中的应用

Role of posture intervention in puerperae with pendulous abdomen during delivery

目的观察体位管理在悬垂腹产妇分娩过程中效果。方法选取2013年1月至2015年10月在我院分娩的80例悬垂腹产妇,随机分为对照组和观察组。对照组采用常规体位分娩,观察组在体位管理下分娩。比较两组分娩方式、阴道分娩时间、产后2 h出血量及胎儿情况。结果与对照组比较,观察组顺产率明显提高(P<0.05),第一、第二产程时间明显缩短(P<0.01),产后2 h出血量及胎儿窘迫、新生儿窒息发生率明显降低(P<0.01或0.05)。结论悬垂腹产妇分娩过程中应用体位管理可提高顺产率、缩短阴道分娩时间、减少产后出血及胎儿损伤。

Objective To observe the effect of posture intervention in puerperae with pendulous abdomen during delivery. Methods Between January 2013 and October 2015, 80 puerperae with pendulous abdomen were randomly divided into observation and control groups, and then received posture intervention and routine posture, respectively. The delivery mode, vaginal delivery time, 2-hour postpartum blood loss, and fetal complications were compared between two groups. Results Compared with control group, normal delivery was increased （P〈0.05）, first and second birth processes were shortened （P〈0.01）, and 2-hour postpartum blood loss and incidence of fetal distress and neonatal asphyxia were decreased （P〈0.01 or 0.05） in observation group. Conclusion The posture intervention can facilitate normal childbirth, reduce vaginal delivery time, and improve postpartum hemorrhage and fetal injury in puerperae with pendulous abdomen.