产妇侧卧位分娩配合无保护会阴接生的临床护理分析

Clinical Nursing Analysis of Maternal Lateral Position Delivery Combined with Unprotected Perineal Delivery

目的分析产妇侧卧位分娩配合无保护会阴接生的临床护理效果。方法方便选取2018年2月—2019年2月在该院分娩的产妇630例作为该次研究对象,将其按照住院单号尾数奇偶数的排列方法分成研究组和对照组,每组315例。研究组产妇采用侧卧位分娩配合无保护会阴接生,对照组产妇进行常规助产方式分娩。对比两组产妇的产程时间、产后2 h出血量、住院时间、尿潴留发生率、新生儿窒息情况、会阴损伤、感染情况以及产妇对护理服务的满意度。结果研究组产妇的会阴损伤Ⅰ度44.44%、会阴损伤Ⅱ度11.11%、会阴伤口感染率为0.31%、第二产程时间(40.21±10.22)min、产后2 h出血量(191.22±23.21)mL、住院时间(3.12±0.32)d、新生儿窒息率为2.22%、尿潴留发生率为4.44%、产妇对护理服务的满意度为93.65%;对照组产妇的会阴损伤Ⅰ度22.22%、会阴损伤Ⅱ度31.11%、会阴伤口感染率为0.62%、第二产程时间(36.55±10.74)min、产后2 h出血量(252.19±24.13)mL、住院时间(3.78±0.53)d、新生儿窒息率为4.44%、尿潴留发生率为17.78%、产妇对护理服务的满意度为82.22%,可见研究组产妇的会阴损伤Ⅱ度、尿潴留发生率、产后出血量和住院时间明显低于对照组,会阴损伤Ⅰ度和满意度高于对照组﹙χ^2/t=5.404、32.320、18.920、28.350、5.000、19.392,P<0.05﹚,其他项目对比差异无统计学意义﹙P>0.05﹚。结论在分娩时采用侧卧位分娩配合无保护会阴接生更能够帮助会阴,减少会阴的损伤程度,可促进产妇分娩后身体恢复,值得进一步推广应用。

Objective To analyze the clinical nursing effect of maternal lateral position delivery combined with unprotected perineal delivery.Methods A total of 630 women who gave birth in the hospital from Convenient election February 2018 to February 2019 were enrolled in this study.They were divided into study group and control group according to the arrangement of the number of odds in the hospital order number.Each group had 315.example.The study group received maternal delivery in the lateral position with unprotected perineal delivery,and the control group gave birth in routine midwifery.The maternal time,postpartum 2h bleeding,hospitalization time,urinary retention rate,neonatal asphyxia,perineal injury,infection,and maternal satisfaction with nursing services were compared between the two groups.Results The perineal injury of the study group was 44.44%,the perineal injury was 11.11%,the perineal wound infection rate was 0.31%,the second stage of labor(40.21±10.22)min,and the postpartum 2 h bleeding volume(191.22±23.21)mL.Hospitalization time(3.12±0.32)d,neonatal asphyxia rate was 2.22%,urinary retention rate was 4.44%,maternal satisfaction with nursing service was 93.65%,and control group had perinatal injury I degree 22.22%,perineum Injury II degree 31.11%,perineal wound infection rate from 0.62%,second stage of labor(36.55±10.74)min,postpartum 2 h bleeding volume(252.19±24.13)mL,hospitalization time(3.78±0.53)d,neonatal asphyxia rate 4.44%,the incidence of urinary retention was 17.78%,and the satisfaction of maternal care service was 82.22%.It can be seen that the degree of perineal injury II,the incidence of urinary retention,the amount of postpartum hemorrhage and the length of hospital stay were significantly lower in the study group than in the control group.Perineal injury I degree and satisfaction were higher than the control group﹙χ^2/t=5.404,32.320,18.920,28.350,5.000,19.392,P<0.05﹚.Other items were meaningless,the difference was not statistically significant﹙P>0.05﹚.Conclusion The use of lateral position delivery during childbirth combined with unprotected perineal delivery can help the perineum,reduce the degree of perineal injury,and promote the recovery of the body after delivery.It is worth further promotion.