无保护助娩技术在初产妇正常分娩中的应用

Application of Unprotected Delivery Technology in Normal Delivery of Primipara

目的研究在初产妇正常分娩中无保护助娩技术的应用效果。方法选择该院2016年7月—2017年6月中的106例初产妇进行研究,随机分为2组,治疗组和对照组分别有53例,对照组采用传统接生法,治疗组采用无保护会阴接生法,比较两组分娩质量。结果治疗组肩难产率、新生儿窒息率、产后住院时间与对照组差异无统计学意义(P>0.05);治疗组会阴切口率、会阴撕裂率、会阴水肿率、术后疼痛程度、产后2 h出血量、压力性尿失禁发生率均低于对照组,差异有统计学意义(P<0.05);治疗组产妇满意度为94.34%,对照组79.25%,差异有统计学意义(χ~2=21.068 3,P<0.000 0)。结论在初产妇正常分娩中应用无保护助娩技术能提升分娩质量,值得推广。

Objective To study the application effect of unprotected delivery technology in normal delivery of primipara. Methods A total of 106 primiparas from July 2016 to June 2017 were randomly divided into two groups. The treatment group and the control group were respectively of 53 cases. The control group used the traditional delivery method. The treatment group used unprotected perineal delivery method and compare the quality of the two components. Results The shoulder labor rate, neonatal asphyxia rate, postpartum hospital stay and the control group were not significantly different in the treatment group(P>0.05). The perineal incision rate, perineal tear rate, perineal edema rate, postoperative pain degree, postpartum hemorrhage incidence of stress and stress urinary incontinence was lower than that of the control group,the different was statistically significant(P<0.05); the satisfaction rate of the treatment group was 94.34%, and that of the control group was 79.25%,the different was statistically significant(χ^2=21.068 3, P<0.000 0). Conclusion The application of unprotected delivery technology in normal delivery of primiparas can improve the quality of delivery and is worth promoting.