徒手上推水肿宫颈在产程中的应用

Application of pushing up the edematous uterline cervix with hand during the stages of labor

目的 观察徒手上推水肿宫颈对缩短产程 ,减少难产 ,减少新生儿并发症的作用。方法 将 4 6例宫颈水肿的孕妇随机分组 ,在第一产程实施上推宫颈为观察组 ,共 2 5例 ;另一组在第一产程不实施上推宫颈为对照组 ,共 2 1例。结果 观察组活跃期、第二产程时间明显缩短 ,产后出血量减少 ,新生儿并发症减少 ,两组比较有显著性差异 ,P <0 .0 5 ,两组Argar’s评分比较无明显差异 ,P >0 .0 5。

Objective: To explore the value of pushing up the edematous uterline cervix with hand during the stages of labor. Method: 46 cases of pregnant women with edematous uterline cervix were randomly divided into two groups . 25 cases , whose edematous uterline cervix were pushed up with hand in the stages of labor were in the experimental group, and the other 21 cases were in the control group. Results:There were significant differences between the two groups. The time of the second stage of labor, the bleeding amount, and complications of newborns in the experimental group is lower than that in control group, and there was no signifinant difference of Apgar scores between the two groups Conclusions: Pushing up the edematous uterline cervix with hand is effective for the edematous uterline cervix cases.