自由体位对枕后位和枕横位产妇产程及妊娠结局的影响分析

Analysis of the Influence of Free Position on the Labor and Pregnancy Outcome of Posterior and Transverse Occipital Position Women

目的:分析自由体位对枕后位和枕横位产妇产程及妊娠结局的影响。方法:选择笔者所在医院2019年6月-2020年6月的300例枕后位和枕横位产妇作为本次研究对象,采用单双号法分为两组,单号为对照组,双号为研究组,每组150例,对照组采用截石位分娩,研究组采用自由体位分娩,对比两组产妇第一、第二、第三产程时间、总产程时间、产后出血量、新生儿出生Apgar评分及母婴不良妊娠结局发生率。结果:两组第三产程时间对比差异无统计学意义(P>0.05),研究组第一产程时间、第二产程时间、总产程时间均短于对照组,差异均有统计学意义(P<0.05);研究组产后出血量低于对照组,新生儿出生Apgar评分高于对照组,差异均有统计学意义(P<0.05);研究组母婴不良妊娠结局发生率低于对照组,差异均有统计学意义(P<0.05)。结论:对枕后位和枕横位产妇实施自由体位干预,不仅能有效缩短产妇产程时间,还能保证母婴妊娠结局良好。

Objective:To analyze the effect of free posture on the posterior and transverse occipital maternal labor and pregnancy outcomes.Method:A total of 300 women with posterior occipital position and transverse occipital position in our hospital from June 2019 to June 2020 were selected as the objects of this study,the patients were divided into two groups by odd-and-even numbering method,with the single numbering as the control group and the double numbering as the research group,with 150 cases in each group.The control group was delivered in lithotomy position,while the study group was delivered in free position,the time of the first,second and third stages of labor,the total length of labor,postpartum blood loss,Apgar score at birth and the incidence of adverse pregnancy outcomes were compared between the two groups.Result:There was no significant difference in the time of the third stage of labor between the two groups (P>0.05),the time of the first stage of labor,the time of the second stage of labor and the time of the total stage of labor in the research group were shorter than those in the control group,the differences were statistically significant (P<0.05).The postpartum blood loss in the research group was lower than that in the control group,and Apgar score at birth was higher than that in the control group,the differences were statistically significant (P<0.05).The incidence of adverse pregnancy outcomes in the research group was lower than that in the control group,the difference was statistically significant (P<0.05).Conclusion:Free position interventions for posterior occipital and transverse occipital women can not only effectively shorten the maternity period,but also ensure good outcomes for mothers and infants.