徒手旋转助产干预对头位难产产妇分娩结局的影响

Effect of hand rotation midwifery intervention on delivery outcomes of head dystocia

目的探讨徒手旋转助产干预对头位难产产妇分娩结局的影响。方法选取150例头位难产产妇,随机分为对照组与观察组,每组75例。对照组给予常规自然分娩和助产护理,观察组给予徒手旋转助产干预,比较2组第二产程时间、产后2 h出血量、最终分娩方式以及母婴并发症情况。结果观察组第二产程时间短于对照组,产后2 h出血量少于对照组,差异有统计学意义(P<0.05);观察组自然分娩率高于对照组,剖宫产率低于对照组,差异有统计学意义(P<0.05)。2组新生儿娩出5 min Apgar评分和娩出1周后新生儿神经行为测定(NBNA)评分比较,差异无统计学意义(P>0.05);观察组新生儿1 min Apgar评分高于对照组,差异有统计学意义(P<0.05)。观察组产妇和新生儿总并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论徒手旋转助产干预能缩短头位难产产妇产程时间,降低剖宫产率,减少母婴并发症,改善分娩结局。

Objective To explore the effect of hand rotation midwifery intervention on the delivery outcomes of head dystocia.Methods A total of 150 head dystocia puerperae admitted to our hospital were randomly divided into control group and observation group,with 75 cases in each group.The control group was given routine natural delivery and midwifery care,and the observation group was given free hand rotation midwifery intervention.The second stage of labor time,the amount of bleeding in 2 hours after delivery,the final delivery mode and incidence of mother-infant complications were compared between the two groups.Results The second stage of labor time in the observation group was shorter,and the amount of postpartum hemorrhage was significantly less than that in the control group(P<0.05).The natural delivery rate was higher in the observation group,and the cesarean section rate was lower than that in the observation group(P<0.05).There were no significant differences in Apgar score at 5 min and neonatal behavioral neurological Assessment(NBNA)score at 1 week after delivery between the two groups(P>0.05).Apgar score at 1 min in the observation group was higher than that in the control group(P<0.05).The total incidence of complications of the observation group was lower than that of the control group(P<0.05).Conclusion Intervention of hand rotation can shorten the time of delivery and reduce the rate of cesarean section as well as the incidence of complications,and improve the outcomes of delivery.