无保护会阴接生法在提高产妇自然分娩率的临床应用价值研究

Clinical Application of Unprotected Perineum Delivery Method in Improving Natural Delivery Rate of Parturient

目的探讨在提高产妇自然分娩率上,无保护会阴接生法的应用效果。方法依照数字表法将于郑州大学第五附属医院分娩的产妇(共80例)随机分成例数相等的参照组与测验组,其中,参照组运用传统会阴保护接生法,测验组运用无保护会阴接生法,对两组分娩效果予以评价。结果测验组自然分娩率(95.00%)显著高于参照组(77.50%),差异有统计学意义;测验组会阴裂伤程度显著优于参照组,差异有统计学意义;相比参照组,测验组的产后出血量显著更少,第二产程时间和住院时间显著更短,产后第1d的VAS评分显著更低,差异有统计学意义。结论在产妇分娩中应用无保护会阴接生法,不但可促进自然分娩率的提升,还可减少产妇会阴裂伤程度和产后出血量,有利于其产后恢复。

Objective To explore the effect of unprotected perineum delivery in improving the rate of natural delivery of parturient. Methods According to the digital table method,80 cases of parturient delivered in the hospital were randomly divided into reference group and test group,with equal number in each case. Among them,the reference group used the traditional perineal protection method,and the test group used the unprotected perineal delivery method. The effect of delivery in two groups was evaluated. Results The natural delivery rate in the test group(95.00%)was significantly higher than that in the reference group(77.50%),the difference was statistically significant. The degree of perineal laceration in the test group was significantly better than that in the reference group,the difference was statistically significant. Compared with the control group,the amount of postpartum hemorrhage in the test group was significantly less,the duration of the second stage of labor and the hospitalization time were significantly shorter,and the VAS score of the first day postpartum was significantly lower than that of the control group,the difference was statistically significant. Conclusion The application of unprotected perineum delivery in parturient can not only promote the increase of natural delivery rate,but also reduce the degree of perineum laceration and postpartum bleeding,which is beneficial to postpartum recovery.