控制胎头娩出的速度对降低自然分娩产妇会阴侧切率的效果

The effect of controlling the speed of delivery of the head to reduce the rate of lateral perineal resection

目的:探讨控制胎头娩出的速度对降低自然分娩产妇会阴侧切率的效果。方法:选取2017年5月至2018年6月期间在南京市江宁医院进行自然分娩的280例产妇作为研究对象。将这些产妇平均分为治疗组和对照组。在这些产妇分娩期间,不控制对照组产妇胎儿胎头娩出的速度,控制治疗组产妇胎儿胎头娩出的速度。然后比较两组产妇进行会阴侧切的发生率、第二产程的时长及分娩期间的出血量。结果:两组产妇第二产程的时长及在分娩期间的出血量相比,P>0.05。治疗组产妇会阴裂伤、进行会阴侧切的发生率均低于对照组产妇(P <0.05)。结论:控制进行自然分娩产妇胎儿胎头娩出的速度,可明显降低其会阴侧切的发生率。

objective:to investigate the effect of controlling the speed of delivery of the head to reduce the rate of lateral perineal resection in women with natural delivery.Methods:280 parturient women who gave birth naturally in nanjing jiangning hospital from May 2017 to June 2018 were selected as research objects.The women were equally divided into treatment and control groups.During the delivery of these women,the speed of delivery of the fetal fetal head was not controlled in the control group,but in the treatment group.Then the incidence of perineal lateral resection,the duration of the second labor and the amount of blood loss during delivery were compared between the two groups.Results:compared with the length of the second labor and the amount of bleeding during delivery,P>was 0.05.The incidence of perineal laceration and lateral perineal resection in the treatment group was lower than that in the control group(P<0.05).Conclusion:controlling the speed of delivery of fetal head can obviously reduce the incidence of perineal lateral resection.