产程中分阶段运动疗法对初产妇分娩的影响

Effect of Staged Exercise Management on Birth of Primipara in Labor

目的:探讨产程中分阶段运动疗法对孕足月单胎头位初产妇分娩结局的影响。方法:选取2017年6-11月在南方医科大学附属小榄医院自愿选择自然分娩的单胎低危初产妇共280例为研究对象,采用随机数字表法分为观察组和对照组,各140例。观察组孕妇临产后在护士与助产士指导下进行休息与分阶段运动疗法主动参与分娩过程直至分娩,对照组孕妇采用传统方法待产及接产。观察两组孕妇各产程时间、新生儿评分、产后2 h出血量以及两组产妇的顺产率、器械助产率、中转剖宫产率、分娩满意度。结果:观察组顺产率高于对照组,器械助产率和中转剖宫产率均低于对照组,差异有统计学意义(P<0.05)。观察组阴道分娩产妇的第一产程、第二产程、总产程均短于对照组,差异均有统计学意义(P<0.05)。观察组产后2 h出血量少于对照组,差异有统计学意义(P<0.05)。两组新生儿窒息率比较,差异无统计学意义(P>0.05)。观察组满意度情况优于对照组,差异有统计学意义(P<0.05)。结论:产程中分阶段运动疗法能缩短初产妇第一产程、第二产程、总产程,同时可减少产后出血,提高自然分娩率、降低中转剖宫产率,但不增加新生儿窒息率,产妇的分娩满意度提高,值得临床推广应用。

Objective:To explore the effect of staged exercise management on delivery outcome of full pregnancy period single birth cephalic delivery woman in the labor.Method:From June to November 2017,a total of 280 low-risk first parturients who voluntarily chose natural delivery in Xiaolan Hospital Affiliated to Southern Medical University were selected as the research objects,they were divided into observation group and control group by random number table,140 cases in each group.After labor,the pregnant women in the observation group took rest and staged exercise under the guidance of nurses and midwives and actively participated in the labor process until delivery,the pregnant women in the control group received traditional methods of labor and delivery.The perinatal time,neonatal score,postpartum blood loss at 2 h,and the rate of natural delivery,device assisted delivery,transfer caesarean section rate and delivery satisfaction of the two groups were observed.Result:The rate of natural birth in the observation group was higher than that in the control group,while the rate of midwifery with instruments and transfer caesarean section were lower than that in the control group,the difference was statistically significant(P<0.05).The first,second and total labor processes in observation group of women with vaginal delivery were shorter than those of the control group,the differences were statistically significant(P<0.05).The amount of blood loss at 2 h pospartum in the observation group was less than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in neonatal asphyxia rate between the two groups(P>0.05).The satisfaction of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:It can shorten the first stage of labor,the second stage of labor,the total process of labor,reduce the postpartum hemorrhage,improve the rate of natural delivery and reduce the rate of caesarean section,but not increase the rate of neonatal asphyxia,and improve the maternal satisfaction with delivery,which is worthy of clinical application.