会阴评估表在低危初产妇经产道头位分娩中的临床应用

Application of perineal assessment scale in head position delivery of low-risk primiparas

目的探讨低危初产妇经产道头位分娩会阴评估的临床应用。方法将100例经产道头位自然分娩的低危初产妇随机分为研究组和对照组各50例。对照组由助产士凭经验判断是否行会阴侧切术,研究组经会阴评估表评估,选择性行会阴保护或侧切术。结果研究组产妇产后发生不同程度会阴裂伤共29例,发生新生儿头皮血肿1例,且研究组中行选择性会阴切开者无会阴裂伤发生。对照组中有33例行会阴侧切术,出现会阴裂伤14例,新生儿窒息1例和头皮血肿2例。结论专科会阴评估量表可指导临床助产人员正确地选择性实施会阴侧切术,更好地保护产妇会阴并保障母婴安全。

Objective To explore the application of perineal assessment scale in head position delivery of low-risk primiparas. Methods A total of 100 low-risk primiparas with vaginal natural childbirth were divided into study group and control group. Lateral episiotomy was performed according to nurses' experience in the control group, and the lateral episiotomy or perineal care was performed according to perineal assessment scale in the study group. Results In the study group, there were 29 cases of different perineal laceration and 1 case of scalp hematoma in neonates. In the control group,33 patients had perineal side incision, and there were 14 cases of perineal laceration, 1 case of neonatal asphyxia and 2 case of scalp hematoma in neonates. Conclusion Perineal assessment scale can be used to guide clinical midwifery staff correctly selective lateral episiotomy, protect maternal perineal and ensure the safety of mother and infant.