摘要
目的探讨接受无痛分娩生产的初产妇应用不同体位的效果。方法将80例研究对象按分娩体位不同分成卧位组与自由体位组各40例,2组均接受无痛分娩,对2组分娩时疼痛、产后出血、分娩方式及产程时间进行对比。结果自由分娩组初产妇在第一、第二、第三产程时的疼痛VAS评分上均显著低于卧位组(P<0.05);自由体位组产妇产后2 h与24 h出血量显著少于对卧位组(P<0.05);自由体位组自然分娩率90.00%,明显高于卧位组的62.50%(P<0.05);自然分娩组在各产程时间与总产程时间上均明显短于卧位组(P<0.05)。结论对于行无痛分娩的初产妇应用自由体位可取得满意效果,有效缓解分娩疼痛,减少产后出血量,提高自然分娩率及缩短产程时间。
Objective To explore the effect of different body position on the parturient who received painless labor in the first delivery.Methods 80 subjects were divided into two groups:lying position group and free position group,40 cases respectively.The two groups received painless delivery and different delivery positions.The pain,postpartum hemorrhage,delivery mode and labor process time were compared between the two groups.Results The pain VAS scores of primiparas in the first,second and third stage of labor in the free delivery group were significantly lower than those in the decubitus group(P<0.05).The postpartum blood loss at 2h and 24h in the free position group was significantly lower than that in the contralocubitus position group(P<0.05).The free position group 90.00% natural delivery rate was significantly higher than the decubitus position group 62.50% natural delivery rate(P<0.05);The duration of each stage of labor and total stage of labor in the natural delivery group were significantly shorter than those in the decubitus group(P<0.05).Conclusion For the first time delivery,the free position delivery method can achieve satisfactory results,effectively alleviate the pain of parturient delivery,reduce the amount of postpartum hemorrhage,improve the natural delivery rate and shorten the labor process time of the parturient.
作者
梅秋英
邱长莲
张丽萍
周小青
刘金秀
Mei Qiuying;Qiu Changlian;Zhang Liping(The Second Affiliated Hospital of Gannan Medical College,Xin feng,Jiangxi 341600)
出处
《基层医学论坛》
2021年第28期4041-4043,共3页
The Medical Forum
基金
赣州市卫生和计划生育委员会科研计划项目(2020-2-100)。
关键词
初产妇
无痛分娩
自由体位
疼痛
产后出血
Primipara
Painless delivery
Free position
Pain Postpartum hemorrhage