拆台式助产法联合母婴接触在初产妇中的应用效果观察

Observation on Application Effect of Detachable Bed Midwifery Method Combined with Mother-Infant Contact in Primipara

目的:观察拆台式助产法联合母婴接触在初产妇中的应用效果。方法:选取2019年11月-2020年11月肇庆市第一人民医院收治的88例初产妇为研究对象,按照随机数字表法分为两组,各44例。对照组予以常规助产方式及30 min母婴接触,观察组予以拆台式助产法及90 min母婴接触,观察两组产妇分娩情况、新生儿结局以及新生儿早吸吮情况。结果:观察组产时出血量、产后2 h出血量均少于对照组,会阴侧切率低于对照组,会阴裂伤程度轻于对照组,差异有统计学意义(P<0.05)。两组Apgar评分、胎儿窘迫率、新生儿窒息率及转入NICU率比较,差异均无统计学意义(P>0.05)。观察组新生儿出现觅食征象时间、含接乳头时间、吸吮时间均早于对照组,差异有统计学意义(P<0.05)。结论:拆台式助产法联合母婴接触应用于初产妇中,有助于减少产时及产后出血量,降低会阴侧切率及会阴裂伤程度,促进新生儿早吸吮,且安全性较高。

Objective: To observe the application effect of detachable bed midwifery method combined with mother-infant contact in primipara. Methods: A total of 88 primiparas admitted to the First People’s Hospital of Zhaoqing from November 2019 to November 2020 were selected as the study subjects. They were divided into two groups according to the random number table method, with 44 cases in each group. The control group was given routine midwifery method and 30 min mother-infant contact, and the observation group was given detachable bed midwifery method and 90 min mother-infant contact. The maternal delivery,neonatal outcome and early sucking of newborns in the two groups were observed. Results: The amounts of bleeding during childbirth and at postpartum 2 h in the observation group were less than those in the control group, the rate of lateral episiotomy in the observation group was lower than that in the control group, the degree of perineal laceration in the observation group was less than that in the control group, and the difference was statistically significant(P<0.05). There was no significant difference in Apgar score, fetal distress rate, neonatal asphyxia rate and rate of transferring to NICU between the two groups, and the difference was statistically significant(P>0.05);The time of feeding signs, nipple contact time and sucking time of newborns in the observation group were earlier than those in the control group, and the difference was statistically significant(P<0.05). Conclusion: The application of detachable bed midwifery method combined with mother-infant contact in primipara can help to reduce the amount of intrapartum and postpartum hemorrhage, reduce the rate of lateral episiotomy and the degree of perineal laceration, and promote the early sucking of newborns, with high safety.