无保护会阴联合无痛分娩在促进产妇自然分娩中的应用

Application of unprotected perineum combined with painless delivery in promoting natural delivery of parturients

目的探究无保护会阴联合无痛分娩的分娩方式对产妇自然分娩过程以及产妇和新生儿的影响。方法选取2020年4月至2020年9月本院收治的60例自然分娩的产妇作为研究对象,按照随机数表法分为观察组和对照组,各30例。观察组产妇采取无保护会阴联合无痛分娩方式,对照组产妇采取会阴保护联合常规非药物镇痛分娩方式。比较两组产妇分娩相关指标、产后并发症发生情况、分娩后会阴损伤程度及新生儿窒息情况。结果两组产妇第二产程时间以及新生儿评分比较差异无统计学意义;观察组产妇产后出血量明显少于对照组,观察组产妇住院时间明显短于对照组,差异有统计意义(P<0.05);观察组新生儿窒息率显著低于对照组,差异有统计意义(P<0.05);观察组产妇并发症发生率显著低于对照组,差异有统计意义(P<0.05);观察组产妇会阴损伤率明显低于对照组,差异有统计意义(P<0.05)。结论采用无保护会阴联合无痛分娩方式进行自然分娩能有效减少产妇产后出血情况,安全性较高,值得临床推广运用。

Objective To study the effect of unprotected perineum combined with painless delivery on the natural delivery process of the parturient and the effect of the parturient and the newborn. Methods 60 cases of natural childbirth admitted to our hospital from April to September 2020 were selected as the research subjects. According to the random number table method, they were divided into observation group and control group,with 30 cases in each group. The observation group parturients were given unprotected perineum combined with painless delivery;the control group parturients were given the conventional non-drug analgesic delivery. The indicators related to childbirth, the incidence of postpartum complications,the degree of perineal injury after delivery and neonatal asphyxia were compared between the two groups. Results There was no significant difference in the time of the second stage of labor and neonatal score between the two groups. The postpartum blood loss of the observation group was significantly less than that of the control group, and the hospitalization time of the observation group was significantly shorter than that of the control group, the difference was statistically significant(P<0.05). The neonatal asphyxia rate in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05). The incidence of maternal complications in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05). The perineal injury rate in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Natural delivery without protection of perineum combined with painless delivery can effectively reduce postpartum hemorrhage, the safety is high, worthy of clinical application.