产妇第一、二产程自由体位联合分娩镇痛对阴道分娩的影响研究

Effect study of free body position combined with labor analgesia on vaginal delivery in the first and second stage of labor

目的分析产妇第一、二产程自由体位联合分娩镇痛对阴道分娩的影响。方法选取2020年7月至2021年11月赣南医学院第二附属医院妇产科收治的66例阴道分娩产妇作为研究对象进行回顾性分析,按照分娩方法的不同将其分为对照组(n=33)和观察组(n=33)。对照组采取传统仰卧位分娩,观察组采取第一、二产程保持自由体位联合分娩镇痛分娩。比较两组的疼痛程度、新生儿窒息情况、产后出血量、不良妊娠结局、产后疲倦度及各产程时间。结果观察组的不良妊娠结局总发生率(6.06%)低于对照组(24.24%),差异有统计学意义(P<0.05)。观察组产妇的疼痛程度轻于对照组,新生儿窒息发生率低于对照组,差异有统计学意义(P<0.05)。观察组的第一、二产程及总产程短于对照组,产后出血量少于对照组,差异有统计学意义(P<0.05)。观察组产妇分娩中、晚期的分娩疲倦度评分低于对照组,且两组产妇分娩中、晚期的产后疲倦度评分均高于分娩早期,分娩晚期的产后疲倦度评分均高于中期,差异有统计学意义(P<0.05)。结论对阴道分娩产妇采取自由体位联合分娩镇痛分娩效果显著,能显著缩短总产程,降低产妇疼痛现象,减少产后出血量。

Objective To analyze the effect of free body position combined with labor analgesia on vaginal delivery.Methods A total of 66 women with vaginal delivery admitted to the Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Gannan Medical University from July 2020 to November 2021 were selected as the research objects for retrospective analysis.According to different delivery methods,they were divided into the control group(n=33)and the observation group(n=33).The control group was delivered in the traditional supine position.The observation group took the first and second stage of labor to maintain free body position and labor analgesia.The pain degree,asphyxia of newborns,postpartum hemorrhage,adverse pregnancy outcomes,postpartum fatigue and the duration of each stage of labor were compared between the two groups.Results The total incidence of adverse pregnancy outcomes in the observation group(6.06%)was lower than that in the control group(24.24%),and the difference was statistically significant(P<0.05).The degree of pain in the observation group was lighter than that in the control group,and the incidence of neonatal asphyxia was lower than that in the control group,and the differences were statistically significant(P<0.05).The first and second stages of labor and total stage of labor in the observation group were shorter than those in the control group,and the amount of postpartum blood loss was less than that in the control group,and the differences were statistically significant(P<0.05).The postpartum fatigue score of the observation group was lower than that of the control group in the second and third trimester of labor,and the postpartum fatigue score of the two groups was higher than that of the early trimester of labor,and the postpartum fatigue score of the late trimester of labor was higher than that of the second trimester of labor,and the differences were statistically significant(P<0.05).Conclusion Free body position combined with labor analgesia is effective for vaginal delivery,which can significantly shorten the total labor process,reduce maternal pain and postpartum hemorrhage.