无创接生联合全程陪伴对足月产妇会阴切开率及分娩结局的影响

Effect of Noninvasive Delivery Combined with Whole-course Companionship on Perineal Incision Rate and Delivery Outcome of Full-term Parturients

目的观察无创接生联合全程陪伴对足月产妇会阴切开率及分娩结局的影响。方法选取2019年6月-2021年12月在我院足月分娩的66例产妇为研究对象,采用随机数字表法分为对照组和观察组,各33例。对照组采用常规护理,观察组在对照组基础上给予无创接生联合全程陪伴护理。比较两组产妇分娩方式、不同产程时间、会阴切开率、会阴疼痛评分、会阴裂伤程度、产后出血量、新生儿Apgar评分、新生儿窒息发生率。结果观察组剖宫产率为24.24%,低于对照组的45.45%(P<0.05);观察组阴道分娩率为75.76%,高于对照组的54.55%(P<0.05);观察组第一产程时间短于对照组,第二产程时间长于对照组(P<0.05);观察组会阴切开率、会阴疼痛评分均低于对照组(P<0.05);会阴裂伤Ⅰ度发生率大于对照组,裂伤Ⅱ度发生率低于对照组(P<0.05);观察组产后出血量小于对照组,新生儿Apgar评分高于对照组,新生儿窒息发生率低于对照组(P<0.05)。结论无创接生联合全程陪伴可促进足月产妇自然分娩,降低剖宫产率,减小会阴切开率,改善分娩解决,预防产后出血和新生儿窒息,提高新生儿Apgar评分,是一种可行、有效的护理管理,值得临床应用。

Objective To observe the effect of noninvasive delivery combined with whole-course companionship on perineal incision rate and delivery outcome of full-term parturients.Methods From June 2019 to December 2021,66 full-term parturients in our hospital were selected as the research objects.They were divided into control group and observation group by random number table method,with 33 cases in each group.The control group was given routine nursing,and the observation group was given noninvasive delivery combined with whole-course companionship nursing on the basis of the control group.The delivery mode,different labor time,perineal incision rate,perineal pain score,perineal laceration degree,postpartum hemorrhage volume,neonatal Apgar score and neonatal asphyxia rate were compared between the two groups.Results The cesarean section rate of the observation group was 24.24%,which was lower than 45.45%of the control group(P<0.05).The vaginal delivery rate of the observation group was 75.76%,which was higher than 54.55%of the control group(P<0.05).The first stage of labor in the observation group was shorter than that in the control group,and the second stage of labor was longer than that in the control group(P<0.05).The perineal incision rate and perineal pain score of the observation group were lower than those of the control group(P<0.05).The incidence of perineal lacerationⅠdegree was higher than that of the control group,and the incidence of lacerationⅡdegree was lower than that of the control group(P<0.05).The amount of postpartum hemorrhage in the observation group was less than that in the control group,the neonatal Apgar score was higher than that in the control group,and the incidence of neonatal asphyxia was lower than that in the control group(P<0.05).Conclusion Noninvasive delivery combined with whole-course companionship can promote natural delivery of full-term parturients,reduce cesarean section rate,reduce perineal incision rate,improve delivery resolution,prevent postpartum hemorrhage and neonatal asphyxia,and improve neonatal Apgar score.Thus,it is a feasible and effective nursing management,which is worthy of clinical application..