自由体位待产对分娩结局的影响分析
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摘要
目的探讨自由体位待产对分娩结局的影响,为临床应用提供参考依据。方法选取我院2016年1月至2017年12月所收治产妇106例,随机分为研究组和对照组。研究组53例,予以自由体位待产;对照组53例,采用传统卧位或半卧位方式待产。比较两组产妇临床表现差异。结果第一产程为(8.02±1.19)h、第二产程为(1.19±0.27)h,均显著低于对照组,t分别为8.661、4.216,差异具有统计学(P<0.05)。研究组剖宫产率为24.53%、会阴Ⅲ度裂伤发生率为1.89%、会阴侧切率为3.77%,均显著低于对照组,χ2分别为4.964、4.371和4.605,差异显著(P<0.05)。结论自由体位待产应用于临床分娩过程中,有利于缩短产程、改善分娩结局,保障母婴健康,值得临床推广应用。
Objective To investigate the effect of free position on delivery outcome and provide reference for clinical application.Methods 106 cases of maternal in our hospital from January 2016 to December 2017 were selected and randomly divided into the study group and the control group. In the study group, 53 cases were given free position for labor, while53 cases in the control group received traditional lying position or semi lying position. The difference of clinical manifestation of two groups of parturients was compared.Results The first course of labor was(8.02 + 1.19) H and the second stage was(1.19 + 0.27) h, which was significantly lower than that of the control group, and t was 8.661 and 4.216 respectively. The difference was statistically significant(P < 0.05). The rate of caesarean section in the study group was 24.53%, the incidence of perineum third degree laceration was 1.89% and the perineum lateral cutting rate was 3.77%, which were significantly lower than those of the control group. The difference was 4.964, 4.371 and 4.605, respectively, with significant difference(P<0.05).Conclusion The application of Freestyle postures in clinical delivery is conducive to shortening the labor process,improving the outcome of childbirth, and protecting the health of mothers and infants. It is worthy of clinical application.
Objective To investigate the effect of free position on delivery outcome and provide reference for clinical application.Methods 106 cases of maternal in our hospital from January 2016 to December 2017 were selected and randomly divided into the study group and the control group. In the study group, 53 cases were given free position for labor, while53 cases in the control group received traditional lying position or semi lying position. The difference of clinical manifestation of two groups of parturients was compared.Results The first course of labor was(8.02 + 1.19) H and the second stage was(1.19 + 0.27) h, which was significantly lower than that of the control group, and t was 8.661 and 4.216 respectively. The difference was statistically significant(P < 0.05). The rate of caesarean section in the study group was 24.53%, the incidence of perineum third degree laceration was 1.89% and the perineum lateral cutting rate was 3.77%, which were significantly lower than those of the control group. The difference was 4.964, 4.371 and 4.605, respectively, with significant difference(P<0.05).Conclusion The application of Freestyle postures in clinical delivery is conducive to shortening the labor process,improving the outcome of childbirth, and protecting the health of mothers and infants. It is worthy of clinical application.
引文
[1]张小惠,何苗,朱长巍,等.人工破膜、等待破膜结合自由体位待产对母婴及分娩结局的影响分析[J].贵州医药,2017(9):932-933.
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[3]刘利颜,霍杏婵,沈健,等.自由体位待产及分娩对活跃期初产妇分娩结局的影响分析[J].中国医药科学,2016,6(6):49-51.
[4]胡建梅,陈清,刘芬,等.活跃期运用自由体位对枕后位及枕横位产妇分娩结局的影响研究[J].当代医学,2017,23(33):87-89.
[5]朱春丽,廖庆辉,董云,等.足月头位衔接的胎膜早破孕妇待产体位对其分娩结局的临床影响[J].中国医药科学,2018(2):87-89.
[6]孟巧绒,冶省娟.自由体位待产下两种破膜方式对分娩结局及新生儿的影响[J].中国现代医学杂志,2017(22):91-94.
[2]孙晓琴,杨梅,陈志芳,等.自由体位配合分娩球助产模式对初产妇的分娩控制感、焦虑水平及分娩结局的影响探讨[J].医学信息,2015,28(46):37-38.
[3]刘利颜,霍杏婵,沈健,等.自由体位待产及分娩对活跃期初产妇分娩结局的影响分析[J].中国医药科学,2016,6(6):49-51.
[4]胡建梅,陈清,刘芬,等.活跃期运用自由体位对枕后位及枕横位产妇分娩结局的影响研究[J].当代医学,2017,23(33):87-89.
[5]朱春丽,廖庆辉,董云,等.足月头位衔接的胎膜早破孕妇待产体位对其分娩结局的临床影响[J].中国医药科学,2018(2):87-89.
[6]孟巧绒,冶省娟.自由体位待产下两种破膜方式对分娩结局及新生儿的影响[J].中国现代医学杂志,2017(22):91-94.