自然分娩与剖宫产分娩对产妇产后生理及心理影响的比较

Comparison of the Effect of Natural Childbirth and Cesarean Delivery on Puerperal Postpartum of Physiology and Psychology

目的探讨自然分娩与剖宫产分娩对产妇产后生理及心理影响。方法选取我院2016年12月—2017年10月产科收治的产妇72例作为研究对象。按照分娩方式,将其分为两组,观察组为自然分娩,对照组为剖宫产,利用视觉模拟评分法对产妇产后疼痛程度进行评价,由专业的护理人员对产妇产后的情绪进行观察,由护理人员对产妇的产后乳房开始分泌乳汁的时间、泌乳量进行观察,产妇出院后,通过电话随访了解泌乳量是否充足。结果观察组产妇产后1 d、2 d、3 d疼痛评分均低于对照组产妇,差异具有统计学意义(P<0.05);观察组产妇产后情绪良好率为75.0%(27/36)、情绪低落率为5.6%(2/36);对照组产妇产后情绪良好率为55.6%(20/36)、情绪低落率为25.0%(9/36)。观察组产妇情绪良好率优于对照组产妇,差异具有统计学意义(P<0.05)。观察组产妇产后开始泌乳时间为(27.1±12.2)h,泌乳量充足率为55.6%(20/36);对照组产妇产后开始泌乳时间为(31.4±13.2)h,泌乳量充足率为50.0%(18/36)。两组产妇泌乳量充足率相比,差异无统计学意义(P>0.05);但观察组产妇产后开始泌乳时间短于对照组产妇,差异具有统计学意义(P<0.05)。结论自然分娩方式可以减轻产妇疼痛及创伤,有利于产妇情绪调节,能促进乳汁分泌及产后恢复。

Objective To explore the effect of natural childbirth and cesarean delivery on puerperal postpartum of physiology and psychology.Methods 72 cases of maternity from December 2016 to October 2017 in our hospital were selected as the research objects.According to the way of delivery,they were divided into two groups.The observation group was born in natural childbirth.The control group was caesarean section.The degree of postpartum pain was evaluated by the visual analogue scale,and the professional nurses observed the postpartum mood of the parturient.The nursing staff observed the time and the amount of milk that secreted the milk from the postpartum breast of the parturient.After the parturients were discharged from the hospital,they were followed up by telephone to know whether the amount of lactation was sufficient.Results The pain scores of 1 d,2 d and 3 d after parturients in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The good rate of postpartum mood in the observation group was 75.0%(27/36)and the rate of depression was 5.6%(2/36).The good rate of postpartum mood in the control group was 55.6%(20/36)and the rate of depression was 25.0%(9/36).The rate of good maternal emotion in the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).In the observation group,the lactation time was(27.1±12.2)h after puerperal postpartum and 55.6%(20/36)was sufficient for lactation.In the control group,the time of lactation was(31.4±13.2)h after puerperal postpartum and 50.0%(18/36)was sufficient for lactation.There was no statistical difference between the two groups(P>0.05).But in the observation group,the time of puerperal postpartum lactation was shorter than that of the control group,the difference was statistically significant(P<0.05).Conclusion Natural childbirth can reduce the pain and trauma of parturients,be beneficial to the regulation of maternal emotion,and can promote the secretion of milk and the recovery of postpartum.