无创助产技术对阴道分娩母婴结局的影响观察
|
摘要
目的研究无创助产技术对阴道分娩者母婴结局的影响。方法将我院收治的82例阴道分娩的初产妇随机分为观察组与对照组,均41例,分别实施无创助产技术与传统助产。比较两组第二产程时间、住院时间、会阴水肿、撕裂、疼痛发生情况,比较两组新生儿窒息、入新生儿科发生率。结果观察组第二产程时间、住院时间显著短于对照组(P<0.05);观察组会阴水肿、撕裂、疼痛程度均低于对照组,差异有统计学意义(P<0.05);两组新生儿窒息、入新生儿科发生率比较,差异无统计学意义(P>0.05)。结论无创助产用于阴道分娩可加快第二产程、康复进程,降低会阴水肿、撕裂、疼痛风险,且对新生儿无明显影响。
Objective To study the effect of noninvasive midwifery on maternal and fetal outcomes in vaginal delivery.Methods A total of 82 primiparas with vaginal delivery were randomly divided into observation group(treated with noninvasive midwifery) and control group(treated with traditional midwifery), with 41 cases in each group. The second stage of labor time, hospitalization time, occurance of perineal edema, tearing and pain were compared, and the neonatal asphyxia rate and into the neonatology rate were compared between the two groups. Results The second stage of labor time,hospitalization time in the observation group were significantly shorter than those of the control group(P<0.05). The degree of perineal edema, tearing and pain in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05); there was no significant difference between the two groups in the neonatal asphyxia rate and into the neonatology rate(P >0.05). Conclusion Noninvasive midwifery for vaginal delivery can speed up the second stage of labor and rehabilitation process, reduce the risk of perineal edema, tearing and pain, and has no significant effect on newborns.
Objective To study the effect of noninvasive midwifery on maternal and fetal outcomes in vaginal delivery.Methods A total of 82 primiparas with vaginal delivery were randomly divided into observation group(treated with noninvasive midwifery) and control group(treated with traditional midwifery), with 41 cases in each group. The second stage of labor time, hospitalization time, occurance of perineal edema, tearing and pain were compared, and the neonatal asphyxia rate and into the neonatology rate were compared between the two groups. Results The second stage of labor time,hospitalization time in the observation group were significantly shorter than those of the control group(P<0.05). The degree of perineal edema, tearing and pain in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05); there was no significant difference between the two groups in the neonatal asphyxia rate and into the neonatology rate(P >0.05). Conclusion Noninvasive midwifery for vaginal delivery can speed up the second stage of labor and rehabilitation process, reduce the risk of perineal edema, tearing and pain, and has no significant effect on newborns.
引文
[1]赵梅晶,陈莉萍,李灿蓉,等.无创接生对自然分娩母婴结局的影响[J].福建医药杂志,2017,39(1):138-140.
[2]刘兴会,代莉.我国自然分娩现状及展望[J].中国实用妇科与产科杂志,2015,31(2):97-100.
[3]牛花玲.计划分娩与自然分娩对分娩结局的影响研究[J].中国实用医药,2015,10(15):268-269.
[4]戴宁.改良式低位产钳术联合无保护会阴助产技术用于自然分娩效果分析[J].中国妇幼保健,2015,30(16):2666-2668.
[5]季平,邹雪梅,徐文娟,等.无创分娩镇痛对顺产初产妇分娩镇痛及产后抑郁发生的影响[J].现代临床护理,2015,14(9):37-40.
[6]吴雪华,许露萍,辛韶华.无创接生在低危孕妇正常分娩中的应用研究[J].中国妇幼保健,2015,30(24):4137-4139.
[7]况华进,姚超,陈琳,等.分娩镇痛导乐仪对阴道分娩影响的量化评价[J].临床与病理杂志,2016,36(4):439-443.
[8]陈丽,郑晓妙,卢章霞,等.初产妇宫口开大1~2cm时应用间苯三酚对产程、产后出血及新生儿窒息的影响[J].中国计划生育学杂志,2015,23(11):775-777.
[2]刘兴会,代莉.我国自然分娩现状及展望[J].中国实用妇科与产科杂志,2015,31(2):97-100.
[3]牛花玲.计划分娩与自然分娩对分娩结局的影响研究[J].中国实用医药,2015,10(15):268-269.
[4]戴宁.改良式低位产钳术联合无保护会阴助产技术用于自然分娩效果分析[J].中国妇幼保健,2015,30(16):2666-2668.
[5]季平,邹雪梅,徐文娟,等.无创分娩镇痛对顺产初产妇分娩镇痛及产后抑郁发生的影响[J].现代临床护理,2015,14(9):37-40.
[6]吴雪华,许露萍,辛韶华.无创接生在低危孕妇正常分娩中的应用研究[J].中国妇幼保健,2015,30(24):4137-4139.
[7]况华进,姚超,陈琳,等.分娩镇痛导乐仪对阴道分娩影响的量化评价[J].临床与病理杂志,2016,36(4):439-443.
[8]陈丽,郑晓妙,卢章霞,等.初产妇宫口开大1~2cm时应用间苯三酚对产程、产后出血及新生儿窒息的影响[J].中国计划生育学杂志,2015,23(11):775-777.