导乐式会阴不侧切无保护无创接生技术在初产妇中的应用效果

The Application Effect of Doula Type Non-lateral Incision of the Perineal and without Protection and Non-invasive Delivery Technique in Primiparas

目的:探究导乐式会阴不侧切无保护无创接生技术在初产妇中的应用效果。方法:选取2018年1-12月于笔者所在医院分娩的92例初产妇,根据分娩方式分为试验组与对照组,试验组行导乐式会阴不侧切无保护无创接生技术分娩,对照组行传统接生技术分娩。观察两组会阴撕裂率、产程时间(第一、二、三产程)、产后2 h出血量、SDS评分、VAS评分。结果:试验组第一产程时间[(10.54±1.57)h]、第二产程时间[(1.14±0.54)h]、第三产程时间[(10.72±2.01)min]均短于对照组[(11.57±2.01)h、(1.61±0.47)h、(14.87±1.28)min],差异均有统计学意义(P<0.05);试验组会阴撕裂率(13.04%)低于对照组(30.43%),差异有统计学意义(P<0.05);试验组SDS评分[(57.54±12.04)分]、VAS评分[(54.68±11.75)分]均低于对照组[(62.57±12.07)、(77.54±11.52)分],差异均有统计学意义(P<0.05);试验组产后2 h出血量[(172.47±31.04)ml]少于对照组[(249.24±30.17)ml],差异有统计学意义(P<0.05)。结论:与传统接生技术相比,初产妇行导乐式会阴不侧切无保护无创接生技术更利于加快产程,降低疼痛感及减少出血量,对预防产后抑郁症出现、会阴撕裂有重要作用,值得临床广泛推广。

Objective:To explore the application effect of Doula type non-lateral incision of the perineal and without protection and non-invasive delivery technique in primiparas.Method:A total of 92 primiparas who gave birth in our hospital from January to December 2018 were selected and divided into the experimental group and the control group according to the delivery method.The experimental group received Doula type non-lateral incision of the perineal and without protection and non-invasive delivery technique,while the control group received traditional delivery technique.The rate of perineal tear,duration of labor(first labor,second labor and third labor),blood loss at 2 h postpartum,SDS score,and VAS score were observed in the two groups.Result:The first stage of labor[(10.54±1.57)h],the second stage of labor[(1.14±0.54)h]and the third stage of labor[(10.72±2.01)min]in the experimental group were shorter than those of the control group[(11.57±2.01)h,(1.61±0.47)h,(14.87±1.28)min],and the differences were statistically significant(P<0.05).The rate of perineal tear(13.04%)in the experimental group was lower than that of the control group(30.43%),and the difference was statistically significant(P<0.05).SDS scores[(57.54±12.04)points]and VAS scores[(54.68±11.75)points]in the experimental group were lower than those of the control group[(62.57±12.07)and(77.54±11.52)points],and the differences were statistically significant(P<0.05).The blood loss at 2 h postpartum[(172.47±31.04)ml]in the experimental group was less than that of the control group[(249.24±30.17)ml],and the difference was statistically significant(P<0.05).Conclusion:Compared with the traditional delivery technique,Doula type nonlateral incision of the perineal and without protection and non-invasive delivery technique is more conducive to accelerating the labor process,reducing pain and blood loss,and playing an important role in preventing the occurrence of postpartum depression and perineal tear,which is worthy of wide clinical promotion.