自由体位分娩对母儿结局的影响

Effect of free posture delivery on the outcome of mother and fetus

目的探讨自由体位分娩对母儿结局的影响。方法将300例初产妇随机分为对照组150例（传统体位分娩）和观察组150例（自由体位分娩），比较两组产妇的分娩结局。结果观察组产程时间短于对照组，差异有统计学意义（P〈0．05）；观察组在分娩方式及软产道损伤方面均优于对照组，差异均有统计学意义（P均〈0．05）；两组新生儿并发症发生率比较差异未见统计学意义（P〉0．05）。结论自由体位分娩可促进产程进展，有效降低剖宫产率和软产道损伤率，应积极开展自由体位分娩，保障母儿安全，减少产科并发症的发生。

Objective To investigate the effect of free posture delivery on the outcome of mother and fetus. Methods A total of 300 cases of primiparas were randomly divided into control group （tradi- tional position delivery） and observation group （free position delivery）, with 150 cases in each group; birth outcomes of the two groups were compared. Results The duration of labour in observation group was significantly shorter than that in control group, and the difference was statistically significant （P 〈 0. 05 ） ; the mode of delivery and the situations of soft birth canal injury in observation group were better than those in control group , the differences were statistically significant （ all P 〈 0. 0 5 ） ; there was no significant difference between the two groups in the incidence of neonatal complications （P 〉 0. 05 ）.Conclusions Free position delivery can promote the progress of labour, reduce the rate of cesarean section and the rate of soft birth canal injury effectively. We should actively carry out free position delivery to ensure the safety of mother and baby, and reduce the occurrence of obstetric complications.