自由体位在自然分娩中的应用效果

Application effect of free posture in natural delivery

目的探讨自由体位在自然分娩中的应用效果。方法选取2018年4月~2019年4月在我院待产的100例孕妇为实验组,另外选择同期待产100例孕妇为对照组,对照组采用传统床上卧位待产,实验组用自由体位待产,比较两组总产程时长,自然分娩率和剖宫产率及不良反应总发生率。结果实验组第一产程、第二产程和总产程短于对照组,差异有统计学的意义(P<0.05);实验组自然分娩率为97.00%,高于对照组的80.00%,实验组剖宫产率为3.00%,低于对照组的20.00%,差异均有统计学的意义(P<0.05);实验组不良反应总发生率为8.00%,低于对照组的38.00%,差异有统计学意义(P<0.05)。结论采取自由体位能缩短第一产程和产程平均时长,可提高自然分娩比例,减少剖宫产和医疗干预,值得临床普及应用。

Objective To explore the application effect of free posture in natural childbirth.Methods A total of 100 pregnant women in our hospital from April 2018 to April 2019 were selected as the experimental group.Another 100 pregnant women in our hospital at the same time were selected as the control group.The control group was given traditional bed position for delivery,while the experimental group was given free position for delivery.The total length of labor,natural delivery rate,cesarean section rate and total incidence of adverse reactions were compared between the two groups.Results The first,second and total stages of labor in the experimental group were shorter than those in the control group,with statistical differences(P<0.05).The natural delivery rate in the experimental group was 97.00%,higher than 80.00%in the control group,and the cesarean section rate in the experimental group was 3.00%,lower than 20.00%in the control group,with statistical differences(P<0.05).The total incidence of adverse reactions in the experimental group was 8.00%,lower than that in the control group for 38.00%,the difference was statistically significant(P<0.05).Conclusion Free position can shorten the average length of the first stage of labor and labor,increase the proportion of natural delivery,reduce cesarean section and medical intervention,which is worth popularizing in clinical practice.