孕妇体操配合拉玛泽减痛分娩法在促进初产妇自然分娩和降低剖宫产率中的作用分析

Effect of Prenatal Exercise Combined with Lamaze Pain Reducing Delivery Method on Promoting Natural Delivery and Reducing Cesarean Section Rate in Primipara

目的探讨孕妇体操配合拉玛泽减痛分娩法在促进初产妇自然分娩和降低剖宫产率中的作用。方法选取2022年1—12月定期到本院进行产检的初产妇60例作为研究对象,随机将其分为观察组和对照组,每组30例。对照组采用常规检查和护理。观察组在对照组的基础上练习孕妇体操,并配以拉玛泽减痛分娩法锻炼:孕妇在妊娠16~28周进行孕妇体操练习,在28周进行拉玛泽减痛分娩法锻炼。观察并比较两组孕妇的分娩结局、分娩时间。结果观察组自然分娩率为80.00%,剖宫产率为16.67%;对照组自然分娩率为53.33%,剖宫产率为40.00%(P<0.05)。观察组前2个产程的分娩时间和总产程时间均少于对照组(P<0.05)。结论孕妇体操配合拉玛泽减痛分娩法能够促进初产妇进行自然分娩,有效降低剖宫产率,值得在临床上进行推广。

Objective To explore effect of prenatal exercise combined with Lamaze pain reducing delivery method on promoting natural delivery and reducing cesarean section rate of primipara.Methods The paper chose 60 primipara with regular prenatal checkups in our hospital from January to December 2022,and divided them into observation group and control group randomly,with 30 cases in each group.Control group was treated with routine examinations and nursing,while observation group with prenatal exercise combined with Lamaze pain reducing delivery method on the basis of control group.Primipara carried out prenatal exercise at 16-28 weeks and Lamaze pain reducing delivery method exercises at 28 weeks.Delivery outcomes and delivery time were compared and observed between two groups.Results Natural delivery rate in observation group was 80.00%,cesarean section rate was 16.67%.Natural delivery rate in control group was 53.33%,cesarean section rate was 40.00%(P<0.05).Delivery time at first two stages of labor and total delivery time in observation group was both shorter than control group(P<0.05).Conclusion Prenatal exercise combined with Lamaze pain reducing delivery method can promote natural delivery of primipara and reduce cesarean section rate effectively,which is worthy of promotion in clinical practice.