改良拉玛泽呼吸法结合站立式前倾在初产妇第二产程中的应用

Application of improved Lamaser breathing combined with standing forward leaning in the second stage of labor in primipara

目的:探讨改良拉玛泽呼吸法结合站立式前倾在初产妇第二产程中的应用。方法:选取本院2022年1月至2024年1月分娩的初产妇120例,根据护理方式不同分组为对照组(60例)与观察组(60例)。对照组采用传统拉玛泽呼吸法,观察组采用改良拉玛泽呼吸法结合站立式前倾,比较不同助产方式下组间助产效果[第二产程时间、会阴侧切率、疼痛程度(VAS评分)及产后2h出血量]、会阴裂伤程度、心理状态及分娩控制感[焦虑自评量表(SAS)/抑郁自评量表(SDS)及分娩控制量表(LAS)]、不良妊娠结局及新生儿Apgar评分。结果:观察组初产妇第二产程时间短于对照组,VAS评分、产后2h出血量、会阴侧切率均低于对照组(P<0.05);观察组会阴裂伤程度轻于对照组(P<0.05);护理后,观察组SAS、SDS评分低于对照组,LAS评分高于对照组(P<0.05);观察组不良妊娠结局发生率1.67%低于对照组的11.67%,新生儿Apgar评分高于对照组(P<0.05)。结论:改良拉玛泽呼吸法结合站立式前倾能缩短初产妇第二产程时间,降低产妇疼痛、会阴侧切率及产后2h出血量,减轻产妇会阴裂伤程度,同时可改善产妇负性情绪,提高产妇分娩控制感,母婴结局较佳。

Objective:To explore the application of improved Lamazer breathing combined with standing forward leaning in the second stage of labor in primipara.Methods:120 cases of primipara who gave birth from January 2022 to January 2024 in our hospital were selected and divided into control group(60 cases)and observation group(60 cases)according to different nursing methods.The control group was treated with traditional Lamarze breathing method,and the observation group was treated with improved Lamarze breathing method combined with standing forward leaning.The results of midwifery in different midwifery methods were compared between groups[time of second stage of labor,lateral perineal incision rate,pain degree(VAS score)and postpartum blood loss within 2h],degree of perineal laceration,psychological status,and sense of control over delivery[SAS/SDS and LAS],adverse pregnancy outcomes,and neonatal Apgar score.Results:The second stage of labor in the observation group was shorter than that in the control group,and the VAS score,postpartum blood loss within 2h and lateral perineal resection rate were all lower than those in the control group(P<0.05).The perineal laceration degree of the observation group was less than that of the control group(P<0.05).After nursing,the scores of SAS and SDS in observation group were lower than those in control group,and the scores of LAS were higher than those in control group(P<0.05).The incidence of adverse pregnancy outcome in observation group was 1.67% lower than that in control group(11.67%),and neonatal Apgar score was higher than that in control group(P<0.05).Conclusion:The improved Lamazer breathing method combined with standing forward can shorten the second stage of labor,reduce the pain,lateral perineal incision rate and postpartum blood loss within 2h,reduce the degree of perineal laceration,improve the negative emotions of parturient women,improve the sense of control of parturient women,and achieve better maternal and infant outcomes.