侧卧与跪趴体位联合无保护会阴接生对高龄产妇产程时间及妊娠结局的影响

Influence of Side Lying and Kneeling Position Combined with Unprotected Perineal Midwifery on the Labor Duration and Pregnancy Outcomes of Elderly Puerperas

目的探讨侧卧与跪趴体位联合无保护会阴接生方式对高龄产妇产程时间及妊娠结局的影响。方法选取2018年1月至2019年4月我院收治的142例高龄产妇,随机分为对照组(n=71)与观察组(n=71)。对照组采取传统助产接生方式,观察组采取侧卧与跪趴体位联合无保护会阴接生方式。比较两组的第二产程时间、会阴撕裂情况及妊娠结局。结果观察组的不良妊娠结局发生率低于对照组(P <0.05)。观察组的会阴撕裂程度轻于对照组(P <0.05)。两组的第二产程时间比较差异无统计学意义(P>0.05)。结论高龄产妇采取侧卧与跪趴体位联合无保护会阴接生方式,能够减轻其会阴撕裂程度,有效改善妊娠结局,值得临床推广。

Objective To explore the influence of side lying and kneeling position combined with unprotected perineal midwifery on the labor duration and pregnancy outcomes of elderly puerperas. Methods 142 elderly puerperas in our hospital from January 2018 to April2019 were selected and randomly divided into control group(n = 71) and observation group(n = 71). The control group received traditional midwifery, while the observation group received side lying and kneeling position combined with unprotected perineal midwifery. The second labor stage, perineal laceration and pregnancy outcomes of the two groups were compared. Results The incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group(P <0.05). The perineal laceration degree of the observation group was lighter than that in the control group(P <0.05). No statistical difference was found in the second labor stage between the two groups(P >0.05). Conclusions Side lying and kneeling position combined with unprotected perineal midwifery on the elderly puerperas can relieve the perineal laceration degree, and effectively improve the pregnancy outcomes, which is worthy of clinical promotion.