无创分娩在二次分娩中对会阴裂伤程度的影响

Observation on the Effect of Noninvasive Childbirth on the Degree of Perineal Fractures in Second Delivery

目的:对经过会阴侧切留有瘢痕的经产妇使用无创分娩技术,观察其在二次分娩中对会阴裂伤程度的影响。方法:选取东莞市横沥医院2016年6月至2016年10月收治的172例在初次分娩中进行过会阴侧切手术的经产妇,随机分为两组,观察组和对照组各86例。观察组运用无创分娩技术帮助经产妇二次分娩,对照组仍然使用常规方法接生。结果:对照组经产妇的会阴裂伤度比观察组严重,并发生13例经产妇会阴水肿现象,差异具有统计学意义(P<0.05)。结论:无创分娩技术对原来的会阴侧切留下的瘢痕并未造成影响,还能减轻二次分娩时经产妇的会阴裂伤度,不仅适用于进行过会阴侧切还留有瘢痕的经产妇的再次分娩,也同样适用于初产妇。

Objective To study the effects of surgery on the degree of perineal laceration in secondary labor by using noninvasive delivery techniques on the pregnant women who had had episiotomy and perineal scar. Methods A total of 172 pregnant women who underwent episiotomy in the fi rst delivery from June 2016 to October 2016 in Hengli Hospital of Dongguan City were enrolled and randomly divided into two groups. The observation group and the control group were 86 cases each. The observation group used non-invasive delivery techniques to help the second delivery through the mother, while the control group was still using conventional delivery methods. Results In the control group, the maternal perineal laceration was more severe than that in the observation group, and 13 cases of perineal edema occurred. The difference was statistically signifi cant（P〈0.05）. ConclusionThe technique of noninvasive delivery has no effect on the scar left by the original perineal circumfl exomy. It can also reduce the perineal laceration of the pregnant woman during the second delivery. It is not only applicable to the maternal women who have undergone episiotomy but scarring childbirth, also applies to primipara.