无痛分娩对初产妇母婴结局的影响研究

Study on the impact of painless delivery on the maternal and infant outcomes of primiparous women

目的探讨初产妇分娩过程中采用无痛分娩对母婴结局的影响,为改善初产妇母婴结局提供指导。方法选取2022年1—12月在滕州市中心人民医院生产的100例初产妇,依据初产妇意愿将选择自然分娩的50例初产妇纳入对照组,选择无痛分娩的50例初产妇纳入研究组。比较两组第一、第二产程时间、疼痛评分、转剖宫产率、产后出血量、新生儿窒息率及新生儿Apgar评分。结果研究组第一、第二产程时间均短于对照组,疼痛评分和转剖宫产率低于对照组,差异均有统计学意义(P<0.05)。研究组产后出血量为(107.42±15.44)mL,少于对照组的(132.57±26.71)mL,差异有统计学意义(t=5.764,P<0.05)。研究组新生儿Apgar评分为(9.17±3.98)分,高于对照组的(7.41±1.57)分,差异有统计学意义(t=2.909,P<0.05)。研究组新生儿窒息率为0.00%,低于对照组的8.00%,差异有统计学意义(χ^(2)=4.167,P<0.05)。结论初产妇分娩时为其提供无痛分娩,能够明显提高镇痛效果,并且不会影响母婴结局,在妇产科中有着较高的应用价值。

Objective To explore the impact of painless delivery during the delivery process of primiparous women on the maternal and infant outcomes,and to provide guidance for improving the maternal and infant outcomes of primiparous women.Methods A total of 100 primiparous women who gave birth at Tengzhou Central People's Hospital from January to December 2022,based on wishes of pirmiparous women,50primiparous women who chose natural delivery were included in the control group,and 50 primiparous women who chose painless delivery were included in the study group.The first and second stages of labor,pain scores,cesarean section conversion rates,postpartum bleeding volume,neonatal asphyxia rates and neonatal Apgar scores between two groups were compared.Results The first and second stages of labor in the study group were shorter than those in the control group,and the pain score and conversion rate to cesarean section were lower than those in the control group,and the differences were statistically significant(P<0.05).The postpartum hemorrhage volume of the study group was(107.42±15.44)mL,which was less than that of the control group with(132.57±26.71)mL,and the difference was statistically significant(t=5.764,P<0.05).The Apgar score of newborns of the study group was(9.17±3.98)points,which was higher than that of the control group with(7.41±1.57)points,and the difference was statistically significant(t=2.909,P<0.05).The neonatal asphyxia rate in the study group was 0.00%,which was lower than that in the control group with 8.00%,and the difference was statistically significant(χ^(2)=4.167,P<0.05).Conclusion Providing painless delivery for primiparous women during the delivery process could significantly improve analgesic effects without affecting maternal and infant outcomes,and had high application value in department of obstetrics and gynecology.