全产程分娩镇痛下第二产程新型卧位分娩助产对初产妇分娩结局的影响观察

Observation on the Effect of the New Type of Supine Midwifery in the Second Stage ofLabor on the Delivery Outcome of Primipara Under Full Labor Analgesia

目的:观察全产程分娩镇痛下第二产程新型卧位分娩助产对初产妇分娩结局(总产程时间、胎儿/新生儿并发症总发生率、初产妇的生命体征、分娩创伤发生率、新生儿平均Apgar评分)的影响效果。方法:选取2019年1月至2022年4月于本院产科接受全产程分娩镇痛的初产妇60例,根据第二产程体位差异进行分组。对照组30例采用全产程分娩镇痛下第二产程自由体位,观察组30例采用全产程分娩镇痛下第二产程新型卧位分娩,统计两组初产妇的总产程时间、分娩创伤发生情况、新生儿阿普加(Apgar)评分及胎儿/新生儿并发症总发生率,分别在分娩前、分娩结束后测定产妇生命体征,并对比以上指标数值差异。结果:观察组初产妇的总产程时间、胎儿/新生儿并发症总发生率、分娩结束后产妇的生命体征、分娩创伤发生率、新生儿平均Apgar评分优于对照组(P<0.05)。结论:对初产妇实施全产程分娩镇痛下第二产程新型卧位分娩助产,总产程时间、胎儿/新生儿并发症总发生率、分娩创伤发生率、新生儿平均Apgar评分以及产妇的生命体征优于第二产程自由体位分娩助产。

Objective:To observe the delivery outcomes of primipara with the new type of supine midwifery in the second stage of labor under full labor analgesia(the total duration of labor,total incidence of fetal/neonatal complications,primipara's vital signs,incidence of labor trauma,and the average Apgar score of the newborn).Methods:A total of 60 primiparas who received labor analgesia during the whole labor process in the obstetrics department of our hospital from January 2019 to April 2022 were selected and grouped according to the differences in the position of the second stage of labor.30 cases in the control group were given free position in the second stage of labor under full-course labor analgesia,and 30 cases in the observation group were given the new type of supine position in the second stage of labor under full-course labor analgesia.,Neonatal Apgar score and total incidence of fetal/neonatal complications,maternal vital signs were measured before delivery and after delivery,and the numerical differences of the above indicators were compared.Results:The total duration of labor,the total incidence of fetal/neonatal complications,the vital signs after delivery,the incidence of delivery trauma,and the average Apgar score of newborns in the observation group were better than those in the control group(P<0.05).Conclusion:The new lying position midwifery in the second stage of labor under the full stage of labor analgesia of primipara is superior to the free position midwifery in the second stage of labor.The total duration of labor,the total incidence of fetal/neonatal complications,the incidence of labor trauma,the average Apgar score of newborns,and vital signs are worth popularizing.