侧卧位分娩配合无保护会阴接生的护理效果

Nursing Effect of Maternal Lateral Position Delivery with Unprotected Perineal Delivery

目的探讨侧卧位分娩配合无保护会阴接生的护理效果。方法选取2017年12月至2019年1月于鞍山市第三医院进行分娩的100例产妇作为观察组,采用侧卧位分娩配合无保护会阴接生进行干预;选取同期进行分娩的100例产妇作为对照组,采用常规分娩护理进行干预。比较两种不同分娩方法的护理效果。结果观察组新生儿窒息发生率为1.00%,低于对照组的14.00%,差异有统计学意义(P <0.05);观察组并发症发生率为3.00%,低于对照组的21.00%,差异有统计学意义(P <0.05);观察组的视觉模拟量表(VAS)评分为(4.81±1.71)分,对照组为(6.51±2.22)分,差异有统计学意义(P <0.05);观察组分娩出血量为(178.51±12.33)mL,对照组为(288.22±23.41)mL,差异有统计学意义(P <0.05);观察组住院时间为(3.41±0.81)d,对照组为(2.82±1.21)d,差异有统计学意义(P <0.05)。结论在产妇分娩时,选择侧卧位分娩配合无保护会阴接生方案进行护理指导能够有效提升产妇的分娩成功效率,降低母婴不良情况的发生率,改善分娩质量。

Objective To investigate the nursing eff ect of side delivery combined with unprotected perineal delivery.Methods A total of 100 parturients who gave birth in The Third Hospital of Anshan City from December 2017 to January 2019 were selected as the observation group,and the lateral position delivery combined with unprotected perineal delivery was used for intervention;100 parturients who gave birth during the same period were selected as controls group,using routine delivery care for intervention.The nursing eff ects of two diff erent delivery methods were compared.Results The incidence of neonatal asphyxia in the observation group was 1.00%,which was lower than 14.00%in the control group,and the diff erence was statistically signifi cant(P<0.05);the incidence of complications in the observation group was 3.00%,which was lower than 21.00%in the control group,there was statistical signifi cance(P<0.05);the visual analog scale(VAS)score of the observation group was(4.81±1.71)points,and the control group was(6.51±2.22)points,the diff erence was statistically signifi cant(P<0.05).The amount of bleeding during labor in the observation group was(178.51±12.33)mL,and the control group was(288.22±23.41)mL,the diff erence was statistically signifi cant(P<0.05);the length of stay in the observation group was(3.41±0.81)days,and the control group was(2.82±1.21)days,the diff erence was statistically signifi cant(P<0.05).Conclusion During the delivery of parturients,the selection of side decubitus delivery and unprotected perineal delivery program for nursing guidance can eff ectively improve the success rate of delivery of the parturient,reduce the incidence of maternal and infant adverse conditions,and improve the quality of delivery.