妊娠末期骨盆操对分娩结局的影响分析
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摘要
目的:探讨妊娠末期的孕妇行骨盆操对分娩结局的影响。方法:选取2016年1月-2018年4月笔者所在医院家庭一体化分娩房200例产妇,采用随机数字表法进行分组,100例作为对照组,妊娠末期采取正常护理干预,100例作为研究组,妊娠末期37周开始增加自创的骨盆操干预。比较两组自然分娩率,自然分娩产妇中产后出血、侧切、镇痛及尿潴留情况。结果:研究组自然分娩率为72%(72例),显著高于对照组的53%(53例),差异有统计学意义(P<0.05);研究组自然分娩产妇中,产后出血率为2.8%(2例),侧切率为19.4%(14例),尿潴留发生率为1.4%(1例),均显著低于对照组,镇痛率为66.7%(48例),显著高于对照组,差异均有统计学意义(P<0.05)。结论:妊娠末期37周开始进行骨盆操运动可提高产妇镇痛率,提高自然分娩率,减少分娩相关并发症的发生。
Objective:To explore the effect of pelvic exercises on the childbirth outcome of pregnant women at the end of pregnancy.Method:200 parturients in the integrated family delivery room of the hospital were selected from January 2016 to April 2018.They were randomly divided into two groups,100 parturients who received normal nursing at the end of pregnancy were selected as the control group,and 100 parturients who began self-created pelvic exercises at 37 weeks were selected as the study group.The natural delivery rate,postpartum hemorrhage,lateral incision,analgesia and urinary retention were compared between the two groups.Result:The natural delivery rate was 72%(72 cases) in the study group,which was significantly higher than 53%(53 cases) in the control group,the difference was statistically significant(P<0.05).Among the parturients in natural delivery in the study group,the rate of postpartum hemorrhage was2.8%(2 cases),the lateral incision rate was 19.4%(14 cases) and the incidence of urinary retention was 1.4%(1 case),which were significantly lower than those of the control group,and the analgesia rate was 66.7%(48 cases),which was significantly higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Beginning pelvic exercises at 37 weeks of the end of pregnancy can improve analgesic rate and the natural delivery rate,and reduce the incidence of childbirth-related complications.
Objective:To explore the effect of pelvic exercises on the childbirth outcome of pregnant women at the end of pregnancy.Method:200 parturients in the integrated family delivery room of the hospital were selected from January 2016 to April 2018.They were randomly divided into two groups,100 parturients who received normal nursing at the end of pregnancy were selected as the control group,and 100 parturients who began self-created pelvic exercises at 37 weeks were selected as the study group.The natural delivery rate,postpartum hemorrhage,lateral incision,analgesia and urinary retention were compared between the two groups.Result:The natural delivery rate was 72%(72 cases) in the study group,which was significantly higher than 53%(53 cases) in the control group,the difference was statistically significant(P<0.05).Among the parturients in natural delivery in the study group,the rate of postpartum hemorrhage was2.8%(2 cases),the lateral incision rate was 19.4%(14 cases) and the incidence of urinary retention was 1.4%(1 case),which were significantly lower than those of the control group,and the analgesia rate was 66.7%(48 cases),which was significantly higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Beginning pelvic exercises at 37 weeks of the end of pregnancy can improve analgesic rate and the natural delivery rate,and reduce the incidence of childbirth-related complications.
引文
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[7]Du Y,Xu L,Ding L,et al.The effect of antenatal pelvic floor muscle training on labor and delivery outcomes:a systematic review with metaanalysis[J].International Urogynecology Journal,2015,26(10):1415-1427.
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[9]张丽兴,蔡惠苗,黎锦红,等.骨盆摇摆辅助干预促进初产妇分娩的临床分析[J].中国临床护理,2016,8(3):244-246.
[10]谢迪,谭毅.妊娠期及产后早期盆底肌肉锻炼的研究进展[J].中国临床新医学,2014,7(6):576-578.
[11]裘轶超,张珂,邱丽倩.分娩方式对再生育与初产产后盆底肌的影响观察[J].现代妇产科进展,2017,26(6):445-447.
[12]李洁盈,孙文妹,郑秋梅,等.盆底肌肉功能锻炼配合生物电刺激在产后盆底肌功能康复中的作用[J].中国妇幼保健,2017,32(19):4695-4697.
[2]何菁菁,罗碧如.城市孕妇自然分娩行为意向及影响因素研究[J].护理管理杂志,2017,17(12):868-871.
[3]刘江华.新式导乐分娩对降低剖宫产率和提高顺产质量的临床效果观察[J].中国药物与临床,2018,18(5):158-159.
[4]丁翠萍,樊宇,陶蕾,等.从剖宫产与自然分娩探讨新生儿吸人性肺炎及咽下综合征的发病原因[J].中国医刊,2012,47(1):79-80.
[5]Frederice C P,Amaral E,Ferreira N O.Urinary symptoms and the pelvic floor muscle function after delivery[J].Journal of Obstetrics and Gynaecology Research,2011,33(4):188-195.
[6]黄小玲,刘小菊,曾镜祥,等.盆底肌功能锻炼联合穴位敷贴对产妇盆底肌力及尿失禁的影响[J].现代临床护理,2015,14(1):41-44.
[7]Du Y,Xu L,Ding L,et al.The effect of antenatal pelvic floor muscle training on labor and delivery outcomes:a systematic review with metaanalysis[J].International Urogynecology Journal,2015,26(10):1415-1427.
[8]谢颖,戴小红,陈思羽.骨盆摇摆辅助干预在自然分娩初产妇中的应用效果观察[J].护理研究,2018,4(7):1113-1115.
[9]张丽兴,蔡惠苗,黎锦红,等.骨盆摇摆辅助干预促进初产妇分娩的临床分析[J].中国临床护理,2016,8(3):244-246.
[10]谢迪,谭毅.妊娠期及产后早期盆底肌肉锻炼的研究进展[J].中国临床新医学,2014,7(6):576-578.
[11]裘轶超,张珂,邱丽倩.分娩方式对再生育与初产产后盆底肌的影响观察[J].现代妇产科进展,2017,26(6):445-447.
[12]李洁盈,孙文妹,郑秋梅,等.盆底肌肉功能锻炼配合生物电刺激在产后盆底肌功能康复中的作用[J].中国妇幼保健,2017,32(19):4695-4697.