站立式前倾加骨盆摇摆在分娩第二产程中的效果研究

Study on the Effect of Standing Forward Tilt and Pelvic Swing in the Second Stage of Labor

目的探讨在第二产程应用站立式前倾加骨盆摇摆对产妇与新生儿结局的影响。方法随机选择2018年4月—2019年6月在某院产房分娩的400名产妇,按照随机数字表将其分为实验组与对照组,实验组在第二产程中采用站立式前倾加骨盆摇摆,对照组充分尊重产妇意愿由其自行选择分娩体位,比较两组在分娩方式、第二产程时间、产后2 h出血量、新生儿结局的差异。结果实验组的阴道顺娩率为98%,高于对照组的92%,差异有统计学意义(χ^2=7.579,P<0.05);第二产程的时间实验组为(37.65±13.50)min,少于对照组(47.80±15.99)min,差异有统计学意义(t=26.380,P<0.001);产后2 h出血量(>300 mL)发生率,实验组为2.02%,对照组为3.11%,差异无统计学意义(χ^2=0.131,P>0.05);新生儿窒息发生率,实验组与对照组均为0.52%,差异无统计学意义(P>0.05)。结论在第二产程中正确应用站立式前倾加骨盆摇摆可以提高阴道顺娩率,缩短第二产程,提高分娩质量。

Objective To investigate the effect of standing forward tilt and pelvis swing on the outcome of parturient and newborn in the second stage of labor.Methods Random select 400 parturients who delivered in the delivery room from April 2018 to June 2019 were randomly divided into the experimental group and the control group.The experimental group used standing forward tilt and pelvis swing in the second stage of labor,the control group fully respected the wishes of the parturient and chose various positions by herself,to compare the differences in delivery mode,the time using in second stage of labor,the amount of bleeding 2 hours after delivery and neonatal outcome between the two groups.Results The vaginal delivery rate of the experimental group was 98%higher than that of the control group 92%,the difference was statistically significant(χ^2=7.579,P<0.05);and the time of the second stage of labor was(37.65±13.50)min shorter than that of the control group(47.80±15.99)min.The difference was statistically significant(t=26.380,P<0.001).And the amount of 2 hours postpartum hemorrhage the experimental group was 2.02%when the control group was 3.11%,which the difference wasn’t statistically significant(χ^2=0.131,P>0.05).The incidence of neonatal asphyxia was 0.52%in the experimental group and the control group,the difference was not statistically significant(P>0.05).Conclusion In the second stage of labor,the correct application of standing forward tilt and pelvis swing can improve the vaginal delivery rate,shorten the labor process and improve the quality of delivery.