会阴无保护接生技术在低危孕妇正常分娩中的应用

Application of perineum unprotected delivering technology in normal delivery of low-risk pregnant women

目的:分析会阴无保护接生技术在低危孕妇正常分娩中的应用价值。方法:2013年6月-2014年5月收治初产妇192例,随机分为对照组和观察组,每组96例。对照组采用常规接生技术分娩,观察组采用会阴无保护接生技术分娩,比较两组产妇的会阴情况、产程时间及不良妊娠结局发生情况。结果:观察组会阴侧切率29.17%,对照组51.04%,组间比较差异具有统计学意义(P<0.05)。观察组产妇会阴Ⅰ度裂伤率高于对照组,Ⅱ度裂伤率低于对照组,比较差异均具有统计学意义(P<0.05)。观察组的第二产程时间短于对照组,产后出血发生率和新生儿窒息率明显低于对照组,组间比较差异均具有统计学意义(P<0.05)。结论:在低危孕妇正常分娩中采用会阴无保护接生技术可降低会阴侧切率,提高分娩舒适度,降低产后出血率和新生儿窒息率,值得临床推广应用。

Objective:To analyze the application of perineum unprotected delivering technology in normal delivery of low-risk pregnant women.Methods:192 cases of unipara from June 2013 to May 2014 were randomly divided into the control group and the observation group,with 96 cases in each group.The control group had conventional delivering technology,the observation group adopted perineum unprotected delivering technology,the perineum situation,lasting time and adverse pregnancy outcomes of the two groups were compared.Results:The episiotomy rate of the observation group was 29.17%,and that of the control group was51.04%,there was statistical significance difference between the two groups(P<0.05).The perineal Ⅰ degree laceration rate of the observation group was higher than that of the control group,Ⅱ degree laceration rate was lower than that of the control group,the differences were statistically significant(P<0.05).The second stages of the observation group were shorter than that of the control group,the incidence of postpartum hemorrhage and neonatal asphyxia rate were significantly lower than that of the control group,the differences were statistically significant between the two groups(P<0.05).Conclusions:Perineum unprotected delivering technology applied in normal childbirth of low-risk pregnant women could reduce the episiotomy rate,improve the labor comfort and reduce the rate of postpartum hemorrhage and neonatal asphyxia rate,worthy of clinical popularization and application.