综合系统评估助产管理方式对降低初产妇阴道分娩会阴侧切率效果

Effect of midwifery management method based on comprehensive systematic evaluation for reducing the rate of episiotomy of primipara

目的:分析基于综合系统评估的助产管理方式降低初产妇阴道分娩会阴侧切率的效果。方法:本院产科2021年1-12月时采取传统管理方式,选取此时间段阴道分娩初产妇540例作为对照组;2022年1-12月时采取基于综合系统评估的助产管理方式,选取此时间段阴道分娩的初产妇726例为观察组。比较两组会阴情况、产后指标。结果:观察组会阴侧切率(19.7%)低于对照组(80.4%)(P<0.05),会阴裂伤率(24.9%)与对照组(23.9%)无差异(P>0.05),产后出血量(139.5±26.7ml)、住院时间(3.7±1.1d)少于对照组(146.9±29.3ml、4.1±1.3d),产后24h数字疼痛强度量表评分(3.46±1.02分)低于对照组(4.60±1.37分)(均P<0.05)。结论:开展基于综合系统评估的助产管理方式可降低初产妇阴道分娩会阴侧切率,减轻产后疼痛度,减少产后出血量及住院时间。

Objective:To analyze the effect of midwifery management method based on comprehensive systematic evaluation for reducing the rate of episiotomy of primipara.Methods:540primiparas who gave birth vaginally during the traditional management methods adopted by obstetrics department from January to December;--2021were selected in control group,and 726primiparas who gave birth vaginally during the midwifery management method based on comprehensive systematic evaluation adopted by obstetrics department from January to December 2022were selected in experimental group.The perineal conditions and the postpartum indicators of the primiparas were compared between the two groups.Results:The lateral episiotomy rate(19.7%)of the primiparas in the experimental group was significantly lower than that(80.4%)of the primiparas in the control group(P<0.05).The perineal laceration rate(24.9%)of the primiparas in the experimental group had no significantly different from that(23.9%)of the primiparas in the control group(P>0.05).The postpartum blood loss(139.5±26.7ml)and the hospital stay(3.7±1.1d)of the primiparas in the uc2cexperimental group were significantly less than those(146.9±29.3ml and 4.1±1.3d)of the primiparas in the control group,and the score(3.46±1.02points)of Numerical Rating Scale(NRS)of the primiparas in the experimental group in the postpartum 24hwas significantly lower than that(4.60±1.37points)of the primiparas in the control group(all P<0.05).Conclusion:The midwifery management method based on comprehensive systematic evaluation for the primipara during vaginal delivery can reduce the rate of lateral episiotomy,relieve the postpartum pain,and decrease the postpartum hemorrhage and hospitalization time.