无创助产技术在初产妇自然分娩中的临床应用

Noninvasive midwifery clinical application of early maternal natural childbirth

目的研究无创助产技术在初产妇自然分娩中的应用效果。方法随机选取120例自然分娩初产妇作为观察组,给予无创会阴助产技术分娩;另选取120例作为对照组,给予传统接生技术分娩,对比两组产妇采用不同分娩接生技术分娩时的产程时间、会阴切开率、会阴裂伤程度、产后出血发生率、新生儿窒息率与住院时间等。结果(1)观察组初产妇会阴切开率、产后出血发生率、新生儿窒息率均明显低于对照组,会阴裂伤程度优于对照组,组间比较差异有统计学意义(P<0.05);(2)观察组初产妇第二产程时间、住院时间等均少于对照组,组间比较差异有统计学意义(P<0.05)。结论无创会阴助产接生技术可缩短分娩时间,降低会阴侧切率与裂伤程度,减少产妇疼痛感,应用于初产妇自然分娩中意义重大。

Objective To investigate the effect of non-invasive technique of midwifery in early maternal natural childbirth.Methods 120 cases of natural childbirth primiparas were randomly selected for observation group which received noninvasive perineum midwifery childbirth; and another 120 cases were selected for the control group which received conventional delivery techniques childbirth.The episiotomy rate,degree of perineal laceration,postpartum hemorrhage,asphyxia rate and hospitalization time of the two groups were compared.Results（1） The rate of perineal incision,postpartum hemorrhage and neonatal asphyxia were significantly lower in the observation group than in the control group,and the degree of perineal laceration was better than that of the control group.There was significant difference between the two groups（P〈0.05）;（2） The second generation time,hospitalization time and so on were lower in the observation group than in the control group,the difference was statistically significant（P〈0.05）.Conclusion Noninvasive perineum midwifery delivery techniques can shorten delivery time,reduce the rate of episiotomy and laceration degree,and reduce maternal pain,applied in primipara natural birth is of great significance.