水中分娩对孕产妇的影响

Effects of water birth on parturient

目的:探讨水中分娩对孕产妇的临床作用效果。方法:选取2013年9月~2015年10月在我科室住院待产的179例水中分娩产妇(观察组)和183名传统分娩产妇(对照组)作为研究对象,比较两组产妇焦虑水平、产程时间、疼痛感、会阴侧切率、产后出血量、满意度调查及新生儿出生后1 min的Apgar评分。结果:观察组第一产程末视觉焦虑评分显著低于对照组,第二产程时间较对照组显著缩短,分娩过程中出血量显著低于对照组出血量,会阴侧切例数和疼痛感受显著低于对照组,且产后满意度评价均高于对照组,差异比较均具有统计学意义(P<0.05)。观察组新生儿Apgar评分优于对照组,差异比较具有统计学意义(P<0.05)。结论:水中分娩的模式可以缓解产妇的焦虑情绪,缩短产程,减少出血量,降低会阴侧切率及产道撕裂,减轻疼痛感,不会对新生儿安全造成风险。

Objective: To explore the clinical effect of water birth on pregnant women. Methods: A total of 179 pregnant women( observation group) treated with water birth and 183 traditional maternity pregnant women( control group) who were waiting for delivery in our hospital from September 2013 to October2015 were selected as the research objects. The maternal anxiety level,labor time,pain,episiotomy rate,postpartum hemorrhage,satisfaction survey and Apgar score of new baby within 1 minute after birth of the two groups were compared. Results: The anxiety visual analog test score of the first stage was significantly lower in the observation group than that of the control group. In the second stage of labor,the time was significantly shorter than that of the control group and the amount of bleeding was significantly lower than that of the control group. The number of episiotomy and pain feeling were significantly lower than that of the control group,while postpartum satisfaction were higher than that of the control group. The difference was statistically significant( P <0. 05). The Apgar score of the newborn baby in the observation group was better than that of the control group. The difference was statistically significant( P < 0. 05). Conclusion: The pattern of water birth can alleviate maternal anxiety,shorten the labor,reduce the amount of bleeding,episiotomy rate and birth canal tear as well as pain. It can not have risks on neonatal safety.