无创接生干预对产妇会阴撕裂损伤与会阴侧切率的影响研究

Effect of noninvasive delivery intervention on perineal laceration and lateral perineal incision rate

目的研究无创接生干预对产妇会阴撕裂损伤与会阴侧切率的影响。方法选取分娩的150名产妇,根据随机数字表法分为对照组(传统接生法)与试验组(无创接生干预),各75名。比较两组会阴裂伤程度、侧切率、产程时间及新生儿窒息风险。结果试验组会阴裂伤程度较对照组更轻,且侧切率(21.33%)低于对照组(54.67%)(P<0.05)。两组第一产程、第二产程、第三产程对比,差异无统计学意义(P>0.05)。两组新生儿Apgar评分对比,差异无统计学意义(P>0.05)。结论无创接生干预对会阴裂伤的预防、会阴侧切率降低具有积极影响,且不会延长产程,不会增加新生儿窒息风险,值得临床应用。

Objective To study the effect of noninvasive delivery intervention on perineal laceration and lateral perineal incision rate.Methods 150 women giving birth were divided into the control group(traditional delivery)and the experimental group(non-invasive delivery intervention)according to random number table method,with 75 women in each group.The degree of perineal laceration,lateral incision rate,labor time and neonatal asphyxia risk were compared between the two groups.Results The degree of perineal laceration in experimental group was lighter than that in control group,and the lateral incision rate(21.33%)was lower than that in control group(54.67%)(P<0.05).There were no significant differences in the first,second and third stages of labor between the two groups(P>0.05).There was no significant difference in Apgar score between the two groups(P>0.05).Conclusion Non-invasive delivery intervention has positive effects on the prevention of perineal laceration and the reduction of perineal lateral incision rate,and does not prolong labor or increase the risk of neonatal asphyxia,which is worthy of clinical application.