适度保护会阴接生法对产妇母婴结局的影响

Influence of moderate protection of perineum midwives method in maternal and infant outcomes

目的探讨适度保护接生法对产妇母婴结局的影响。方法选取平山县人民医院2015年1月—2016年11月收治的经阴道分娩产妇1600例作为观察组,另选取本院2013年1月—2014年11月收治的阴道分娩产妇1600例作为对照组。观察组采用适度保护接生法,对照组采用传统方法接生。比较两组产妇会阴情况及会阴侧切、产后出血量>150 ml、新生儿窒息发生率。结果观察组产妇会阴情况优于对照组(P<0.05)。观察组产妇会阴侧切率、产后出血量>150 ml者所占比例及新生儿窒息率低于对照组(P<0.05)。结论适度保护接生法可有效保护产妇会阴,降低会阴侧切率及新生儿窒息发生率,同时降低产后大出血发生率,提高母婴舒适度。

Objective To explore the influence of moderate protection of perineum midwives method in maternal and infant outcomes. Methods A total of 1600 cases of vaginal delivery women who were vaginal delivered were selected from January 2015 to November 2016 in People’ s Hospital of Pingshan County as observation group,and 1600 cases of vaginal delivery women who were vaginal delivered were selected from January 2013 to November 2014 as control group. Observation group was given moderate protection of perineum midwives method,control group was given traditional skills. The perineum condition and the incidence of episiotomy,postpartum haemorrhage 〉 150 ml,neonatal asphyxia were compared between the two groups. Results Observation group of perineum condition was better than control group（ P 〈 0. 05）. The observation group of the episiotomy rate,postpartum haemorrhage 〉 150 ml rate and neonatal asphyxia rate were lower than control group（ P 〈 0. 05）. Conclusion Moderate protection of perineum midwives method can effectively protect the perineum of puerpera,it can reduce episiotomy rate and neonatal asphyxia rate,at the same time,italso can reduce the incidence of postpartum haemorrhage,and promote mother-to-child comfort.