自由体位分娩对促进自然分娩的临床研究

Clinical Study on Free Position for Promoting Natural Childbirth

目的研究产妇采用自由体位分娩对自然分娩的临床效果。方法选取我院2015年8月至2016年8月期间收治的自然分娩产妇300例,按入院顺序分为两组各150例。对照组采用传统体位进行分娩,观察组采用自由体位进行分娩。观察与分析两组产妇的产程、分娩方式以及母婴并发症情况。结果观察组的第一产程、第二产程和第三产程时间均明显短于对照组(P<0.05)。观察组的自然分娩率高于对照组,剖宫产率明显低于对照组(P均<0.05)。观察组的新生儿Apgar评分为(8.9±0.4)分,明显高于对照组的(7.6±0.8)分(P<0.05)。两组母婴并发症包括会阴侧切、宫颈裂伤、产后大出血以及新生儿窒息。观察组的并发症发生率为4.67%,显著低于对照组的14.00%(P<0.05)。结论自由体位对分娩产妇具有显著效果,可有效缩短产程时间,提高自然分娩率,降低分娩后并发症发生率,促进产妇恢复,值得临床应用推广。

Objective To study the clinical effect of free position in natural childbirth ofpuerpera. Methods 300 cases ofpuerpera with natural childbirth admitted to our hospital from August 2015 to August 2016 were selected and divided into two groups according to admission order, with 150 cases in each group. The control group used traditional position in childbirth, while the observation group used free position in childbirth. The stages of labor, delivery mode, and maternal and neonatal complications of two groups were observed and analyzed. Results The first stage, second stage and third stage of labor of observation group were all significantly shorter than those of control group （P〈0.05）. The natural childbirth rate of observation group was higher than that of control group, the cesarean section rate was significantly lower than that of control group （both P 〈0.05）. The neonatal Apgar score of observation group was 8.9± 0.4, significantly higher than 7.6 ±0.8 of control group （P 〈0.05）. The maternal and neonatal complications of two groups included episiotomy, cervical laceration, postpartum hemorrhage and neonatal asphyxia. The incidence of complications of observation group was 4.67%, significantly lower than 14.00% of control group （P〈0.05）. Conclusions The free position in childbirth puerpera has significant effect, can effectively shorten the stages of labor, improve natural childbirth rate, reduce the incidence of complications after delivery and promote the recovery of puerpera, which is worthy of clinical application and promotion.