自由体位分娩对产妇分娩结局、产程及生殖道损伤的影响

Effect of Free Position Delivery on Maternal Delivery Outcome, Labor Process and Genital Tract Injury

目的分析自由体位分娩对产妇分娩结局、产程及生殖道损伤的影响。方法选择该院自2018年2—10月收治的122产妇,将其随机分为2组,对照组和观察组,每组61例。对照组给予常规仰卧位,观察组给予自由体位,对比两组分娩结局、产程及生殖道损伤情况。结果观察组自然分娩率为95.08%,明显高于对照组81.97%,相对比(χ~2=8.098 3,P<0.05)。两组第一产程、第二产程、第三产程时间对比,差异有统计学意义(t=7.309 2,8.3782,9.384 2,P<0.05);观察组第一产程时间为(429.83±71.09)min、第二产程时间为(36.91±10.06)min、第三产程时间为(6.98±1.21)min。观察组宫颈损伤率为1.64%、会阴侧切率为11.48%、会阴I度损伤率为6.56%均明显低于对照组8.20%、24.59%、21.31%(χ~2=9.278 3,7.372 3,7.308 7,P<0.05)。结论要有效将剖宫产率降低,不影响产程时间,并降低生殖道损伤率,在产妇分娩时可采用自由体位。

Objective To analyze the effects of free position delivery on maternal delivery, labor and reproductive tract injury. Methods 122 women who were admitted to our hospital from February to October 2018 were randomly divided into 2 groups, control group and observation group, with 61 cases in each group. The control group was given a normal supine position, and the observation group was given a free position, comparing the two groups of outcomes, labor and reproductive tract injuries. Results The natural delivery rate of the observation group was 95.08%, which was significantly higher than that of the control group(81.97%). The relative ratio was(χ^2=8.098 3,P<0.05). There was a significant difference in the first stage of labor, the second stage of labor, and the third stage of labor between the two groups(t=7.309 2, 8.378 2, 9.384 2, P<0.05);the first stage of labor in the observation group was(429.83±71.09) min, the second labor time was(36.91±10.06) min, and the third labor time was(6.98±1.21) min. In the observation group, the cervical injury rate was 1.64%, the perineal side cut rate was 11.48%, and the perineal I degree injury rate was 6.56%,which was significantly lower than the control group 8.20%, 24.59%, 21.31%(χ^2=9.278 3, 7.372 3, 7.308 7,P <0.05).Conclusion It is necessary to effectively reduce the cesarean section rate, not affect the labor time, and reduce the genital tract injury rate. Free maternal position can be used during the delivery of the mother.