改良助产接生法配合晚断脐对新生儿预后及皮测胆红素的影响

Efficacy of modified midwifery delivery plus late umbilical cordon neonatal prognosis and skin test bilirubin

目的:探讨改良助产接生法配合晚断脐对新生儿预后及皮测胆红素的影响.方法:选取将在我院即将分娩的120名产妇,按照随机数字表达法分为观察组(60例,改良助产接生法,胎儿娩出60~90 s间断脐)与参考组(60例,常规接生,10 s内断脐),比较分析两组母婴预后以及新生儿皮测胆红素差异.结果:观察组新生儿出生后1 min、5 min内新生儿评分(Apgar评分)均明显高于参考组,母婴不良结局发生率明显低于参考组(P<0.05);观察组新生儿出生后皮测胆红素水平、2个月内病理性黄疸发生率与参考组比较差异无统计学意义(P>0.05).结论:改良助产接生法配合晚断脐可提高新生儿Apgar,减少产妇自然分娩损伤,且无黄疸风险,具有一定的推广价值.

Objective:To investigate efficacy of modified midwifery delivery method with late umbilical cord on neonatal prognosis and skin bilirubin.Methods:120 cases were divided into the observation group(60 cases,modified midwifery method,60~90 s intermittent umbilical cord)and the reference group(60 cases,routine delivery,the umbilical cord was measured within 10 s).The prognosis of the mother and the baby in the two groups and the difference in bilirubin in the neonatal skin were compared.Results:The Apgar scores in the observation group were significantly higher than those in the reference group within 1 min and 5 min after birth,and the incidence of adverse outcomes of maternal and infant was significantly lower than the reference group(P<0.05).There was no significant difference in the incidence of pathological jaundice between groups(P>0.05).Conclusion:Improved midwifery delivery method plus late umbilical cord can improve neonatal Apgar,reduce maternal natural childbirth injury,and no risk of jaundice,and has certain promotion value.