自由体位在剖宫产术后再妊娠阴道分娩中的应用

The application effects of free body position in vaginal delivery of re-pregnancy parturients after cesarean section

目的探讨自由体位应用到剖宫产术后再妊娠阴道分娩中的效果。方法选择2019年1月至2020年8月入住符合阴道分娩条件的140例产妇为研究对象,用随机数表法分为观察组和对照组,每组70例。研究组使用自由体位的剖宫产术后再妊娠产妇,对照组剖宫产术后再妊娠采用传统分娩方式。比较2组的阴道顺产、中转剖宫产、阴道助产、侧切、产程时间、产后2 h出血量、手转胎头、新生儿窒息、产后出血及子宫破裂情况。结果最终共138例产妇完成该研究,其中观察组68例、对照组70例。2组阴道顺产、中转剖宫产、侧切、产程时间、产后2 h出血量、手转胎头、新生儿窒息、产后出血比较,差异均有统计学意义(P<0.05),阴道助产及子宫破裂差异无统计学意义(P>0.05)。结论自由体位能促进剖宫产术后再妊娠阴道分娩,降低剖宫产率,减少医疗干预,使分娩更自然更健康,值得临床推广。

Objective To investigate the application effects of free body position in vaginal delivery of re-pregnancy parturients after cesarean section.Methods A total of 140 parturients in accordance with the conditions of vaginal delivery who were in accordance with the condition of vaginal delivery and hospitalized from January 2019 to August 2020 were enrolled in the study,who were randomly divided into observation group and control group,with 70 cases in each group.The parturients in observation group adopted free body position,however,those in control group adopted traditional delivery mode.The conditions of vaginal spontaneous delivery,conversion to cesarean section,vaginal assistant delivery,lateral incision,labor time,postpartum 2 h bleeding,hand turn fetal head,neonatal asphyxia,postpartum hemorrhage and uterine rupture were observed and compared between the two groups.Results Finally a total of 138 parturients completed the study,including 68 cases in observation group and 70 cases in control group.There were significant differences in vaginal spontaneous delivery,conversion to cesarean section,lateral incision,duration of labor,postpartum 2 h bleeding,manual rotation of fetal head,neonatal asphyxia and postpartum hemorrhage between the two groups(P<0.05).There were no significant differences in vaginal assistant delivery and uterine rupture between the two groups(P>0.05).Conclusion The application of free body position is helpful for the vaginal delivery of re-pregnancy parturients after cesarean section,which can reduce the rate of cesarean section,reduce medical intervention,and make delivery more natural and healthy,which is worthy of clinical promotion.