产程中体位干预对阴道分娩的临床效果研究

The Clinical Effect of Body Positions Intervention on Vaginal Delivery

目的:对产妇在产程中采取不同体位,探讨体位干预对阴道分娩的临床效果。方法:选取笔者所在医院收治的120例分娩产妇,按照产妇意愿分成两组,对照组产妇60例,产程中采取传统体位;研究组产妇60例,产程中根据产妇情况采取不同体位干预,如坐蹲位、仰(侧或半)卧位、走立位等自由体位。比较两组产程时间、分娩方式及生产时母婴情况。结果:(1)研究组产妇采取体位干预后,各产程时间均短于对照组,对比差异有统计学意义(P<0.05)。(2)研究组胎位异常纠正例数、阴道分娩率明显高于对照组,产妇会阴裂伤率、会阴侧切率及肩难产率明显低于对照组,两组对比差异有统计学意义(P<0.05)。(3)两组产后出血量与新生儿窒息发生情况相当,对比差异无统计学意义(P>0.05)。结论:对产妇在产程中采取体位干预,选择合适的体位有利于缩短产程时间,纠正胎位异常并提高阴道分娩率,减少产妇分娩痛苦,对于促进阴道分娩具有重要的价值。

Objective：Taking different body positions in the process of labor,to explore the clinical effect of body position intervention on vaginal delivery.Method：120 cases of puerpera were chose and divided into two groups.The control group 60 cases took common body positions,and the research group 60 cases took different body positions,such as squat,supine（lateral position,half-lying）,standing position.Compared the time of labor,delivery manners and status of mothers and infants.Result：（1）The time of labor of the research group was significantly shorter than that of the control group（P〈0.05）.（2）The rate of malposition correction and vaginal delivery in the research group were significantly higher than the control group（P〈0.05）.And the rate of severe perineal laceration,lateral episiotomy and hard yield of shoulder were significantly lower than those in the control group（P〈0.05）.（3）The amount of postpartum hemorrhage and neonatorum asphyxia of the research group were equal to the control group（P〉0.05）.Conclusion：Taking different body positions intervention on vaginal delivery can reduce the labor time, correct fetal position,increase the rate of vaginal delivery and reduce maternal pain.It has important value for the promotion of vaginal delivery.