骨盆摇摆辅助干预对自然分娩初产妇产程进展和产后康复的影响

Effect of Pelvic Swing Assistant Intervention on the Progress of Delivery and Postpartum Rehabilitation of Primipara with Spontaneous Delivery

目的:探讨骨盆摇摆辅助干预对自然分娩初产妇产程进展和产后康复的影响。方法:选取2019年2-12月笔者所在医院自然分娩初产妇106例,按照随机数字表法将其分为对照组和观察组,每组53例。对照组采用常规产程干预,观察组采用骨盆摇摆辅助干预。比较两组产程进展、母婴结局及产后康复情况。结果:干预后,观察组第一、二、三产程及总产程时间均显著短于对照组,差异有统计学意义(P<0.05)。观察组正常分娩率为96.23%,显著高于对照组的71.70%,差异有统计学意义(P<0.05)。观察组阴道助产率为1.89%,剖宫产率为1.89%,显著低于对照组的15.09%、13.21%,差异有统计学意义(P<0.05)。观察组新生儿生后10 min Apgar评分明显高于对照组,差异有统计学意义(P<0.05)。观察组产后宫缩痛评分、产后2 h出血量均低于对照组,且泌乳开始时间明显早于对照组,差异有统计学意义(P<0.05)。结论:骨盆摇摆辅助干预应用于自然分娩初产妇中,可促进产程进展,改善母婴结局,利于产后恢复,值得临床推广。

Objective:To investigate the effect of pelvic swing assistant intervention on the progress of delivery and postpartum rehabilitation of primipara with spontaneous delivery.Method:A total of 106 primiparas with spontaneous delivery in our hospital from February to December 2019 were selected and divided into the control group and the observation group according to the random number table method,with 53 cases in each group.The control group was given routine delivery intervention,and the observation group was given pelvic swing assistant intervention.The progress of delivery,maternal and infant outcomes and postpartum rehabilitation were compared between the two groups.Result:After intervention,the first,second and third stages of delivery and the total delivery duration in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.05).The normal delivery rate in the observation group was 96.23%,which was significantly higher than 71.70%in the control group,the difference was statistically significant(P<0.05).The vaginal assisted delivery rate was 1.89%,and the cesarean section rate was 1.89%,which was lower than 15.09%and 13.21%in the control group,the differences were statistically significant(P<0.05).Apgar score at 10 min after delivery in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The postpartum uterine contraction pain score and hemorrhage volume at 2 h after delivery of the observation group were lower than those of the control group,and the lactation start time was significantly earlier than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of pelvic swing assistant intervention in primipara with spontaneous delivery can promote the progress of delivery,improve the maternal and infant outcomes,and facilitate postpartum recovery,which is worthy of clinical popularization.