摘要
目的探讨改良手-膝位分娩方式对产妇分娩舒适度和母婴结局的影响。方法方便选取2019年7月—2021年6月厦门市妇幼保健院产科接收的96例产妇为研究对象,根据产妇选择的不同分娩体位分为对照组和观察组,每组48例。对照组在第二产程采取常规屈膝卧位分娩,观察组采取改良手-膝卧位分娩,两组其他产程体位相同。比较两组分娩舒适度和母婴结局。结果观察组分娩舒适度问卷(GCQ)评分为(72.41±4.12)分,高于对照组的(63.15±3.26)分,第二产程疼痛评分为(5.21±1.21)分,低于对照组的(8.54±1.37)分,差异有统计学意义(t=12.211、12.622,P<0.05)。观察组自然分娩率(95.83%)及会阴完整率(45.83%)高于对照组的72.92%和8.33%,差异有统计学意义(χ^(2)=9.560、17.090,P<0.05)。观察组第二产程用时为(1.12±0.23)h,短于对照组的(1.45±0.34)h,产时出血量为(207.56±45.26)mL,少于对照组的(242.85±52.26)mL,差异有统计学意义(t=5.570、3.537,P<0.05)。观察组新生儿产伤发生率为2.08%,低于对照组的16.67%,差异有统计学意义(χ^(2)=4.414,P<0.05)。结论对产妇实施改良手-膝位分娩方式能提高产妇舒适度和自然分娩率,缩短产程,改善母婴结局。
Objective To investigate the effects of modified hand-knee delivery on labor comfort and maternal and in⁃fant outcomes.Methods 96 cases admitted to the obstetrics department of Xiamen Maternal and Child Health Hospital from July 2019 to June 2021 were conveniently selected for the study,and were divided into control group and obser⁃vation group according to the different delivery positions chosen by the women,with 48 cases in each group.In the second stage of labor,the control group delivered in the conventional bent-knee position,while the observation group delivered in the modified hand-knee position,and the other positions were the same in both groups.The comfort of de⁃livery and maternal and infant outcomes of the two groups were compared.Results The GCQ score of the observation group was(72.41±4.12)points,higher than that of the control group(63.15±3.26)points and the pain score of the sec⁃ond stage of labor was(5.21±1.21)points,lower than that of the control group(8.54±1.37)points,the difference was statistically significant(t=12.211,12.622,P<0.05).The spontaneous delivery rate(95.83%)and perineal integrity rate(45.83%)in the observation group were higher than those in the control group(72.92%and 8.33%),the difference was statistically significant(χ2=9.560,17.090,P<0.05).The second stage of labor in the observation group took(1.12±0.23)h,which was shorter than that in the control group(1.45±0.34)h,the amount of bleeding at delivery was(207.56±45.26)mL,which was less than that in the control group(242.85±52.26)mL,the difference was statistically significant(t=5.570,3.537,P<0.05).The incidence of neonatal birth injuries in the observation group was 2.08%,which was lower than 16.67%in the control group,the difference was statistically significant(χ2=4.414,P<0.05).Conclusion The implementation of the modified hand-knee position for labor and delivery can improve maternal comfort and spontaneous delivery rate,shorten the labor process,and improve maternal and infant outcomes.
作者
汪莉
陈锦秀
蔡丽丽
WANG Li;CHEN Jinxiu;CAI Lili(Department of Obstetrics and Gynecology,Special Needs Ward,Xiamen Maternal and Child Health Hospital,Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2023年第1期113-117,共5页
China & Foreign Medical Treatment
关键词
改良手-膝位
分娩方式
舒适度
母婴结局
Modified hand-knee position
Delivery mode
Comfort
Maternal and infant outcomes