无保护会阴接生对分娩效果的影响

Analysis of the Effect of Unprotected Perineal Delivery and Free Position Management on Delivery

目的观察无保护会阴接生配合自由体位管理对分娩效果的影响。方法112例住院分娩患者随机分为对照组、观察组,每组56例。对照组采用传统待产分娩模式,观察组采用无保护会阴接生配合自由体位管理待产分娩模式。比较两组产程时间、母婴结局、会阴疼痛程度。结果两组第一、第二产程比较,观察组短于对照组(P<0.05)。第三产程比较,差异无统计学意义(P>0.05)。观察组产后2h出血量少于对照组(P<0.05),两组产后出血、新生儿窒息、巨大儿发生率差异无统计学意义,两组新生儿体质量差异无统计学意义(P>0.05)。观察组分娩后第1d、第3dVAS评分均低于对照组(P<0.05)。观察组会阴完整比例高于对照组,观察组会阴侧切比例低于对照组(P<0.05)。结论采用无保护会阴接生配合自由体位管理,可缩短第一、第二产程时间,减少产后出血量。

Objective To observe the effect of unprotected perineal delivery and free position management on childbirth.Methods 112 hospitalized patients were randomly divided into control group and observation group, with 56 cases in each group.The control group used the traditional mode of delivery,and the observation group used the unprotected perineal delivery and the free position to manage the mode of delivery.The time of labor,maternal and child outcome,degree of perineal pain were compared between the two groups.Results The first and second stages of labor were compared between the two groups,and the observation group was shorter than the control group (P < 0.05).There was no significant difference in the third stage of labor (P > 0.05).The amount of bleeding in the observation group was significantly lower than control group (P < 0.05).There was no significant difference in the incidence of postpartum hemorrhage, neonatal asphyxia,and macrosomia between the two groups.There was no significant difference in body weight between the two groups (P > 0.05). The VAS scores of the observed components on the 1st and 3rd day after delivery were significantly lower than those in the control group (P < 0.05). The complete ratio of perineum in the observation group was significantly higher than that in the control group.The ratio of perineal side cut in the observation group was significantly lower than that in the control group (P < 0.05).Conclusion Unprotected perineal delivery and free position management can significantly shorten the first and second stage of labor, reduce postpartum hemorrhage.