自然娩肩法对产伤和新生儿窒息的影响

The Effect of Natural Deliver Shoulder Method of Birth Trauma and Neonatal Asphyxia

目的探讨胎头娩出后采用自然娩肩法接生对产伤发生和新生儿窒息的影响。方法选取本院2016年2—4月阴道分娩的384例产妇作为对照组,5—7月阴道分娩的324例产妇作为观察组,对照组胎头分娩后采用常规娩肩法,观察组胎头分娩后采用自然娩肩法。比较分析两组产妇会阴裂伤、肩难产、新生儿锁骨骨折及窒息的发生率。结果观察组会阴裂伤、肩难产、新生儿锁骨骨折及窒息的发生率均低于对照组的相应指标。结论自然娩肩法能够有效降低产妇在生产过程中的产伤及新生儿窒息的发生率。

Objective To explore the effect of natural deliver shoulder method on the occurrence of birth injury and neonatal asphyxia after the delivery of fetal head. Methods 384 Cases of vaginal delivery from February to April 2016 in our hospital were selected as the control group. 324 cases of vaginal delivery from May to July 2016 were used as the observation group. The control group was given conventional delivery after childbirth fetal head shoulder method. The observation group of fetal head after childbirth with natural childbirth shoulder method. The incidence of two groups of perineum laceration, shoulder dystocia, clavicular fracture and asphyxia of the newborn were compared and analyzed. Results The incidence of perineal fissure, shoulder difficulty, neonatal collarbone fracture and asphyxia were lower than those in the control group. Conclusion Natural deliver shoulder method can effectively reduce the incidence of childbirth and neonatal asphyxia in the production process.