双手抱膝用力法在尾骨凸出产妇第二产程中的应用效果
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摘要
目的探讨双手抱膝用力法在尾骨凸出产妇第二产程中的应用效果。方法选取2016年2月～2018年3月在我院分娩的68例尾骨凸出产妇,按照随机方法分为对照组(34例)与观察组(34例)。分娩期间对照组常规用力,观察组以双手抱膝用力法分娩,比较两组的第二产程时间、产后出血情况及新生儿情况。结果观察组第二产程时间短于对照组,产后2 h出血量均明显少于对照组,差异有统计学意义(P<0.05);观察组宫颈裂伤发生率0.00%,新生儿窒息率为0.00%,均明显低于对照组的17.65%、14.71%,差异有统计学意义(P<0.05)。结论在尾骨凸出产妇第二产程分娩中,指导产妇应用双手抱膝用力法分娩,可明显缩短第二产程时间,减少产后出血量,降低宫颈裂伤、新生儿窒息发生风险。
Objective To investigate the application effect of clasping knees with both hands in the second stage of labor of coccyx protruding women.Methods From February 2016 to March 2018,68 cases of puerpera with protruding tailbone were selected and randomly divided into control group(34 cases) and observation group(34 cases).The second stage of labor,postpartum hemorrhage and newborn were compared between the two groups.Results The time of the second stage of labor in the observation group was shorter than that in the control group,the amount of blood loss at 2 hours after delivery in the observation group was significantly lower than that in the control group(P<0.05).The incidence of cervical laceration and neonatal asphyxia in the observation group was significantly lower than that in the control group(P<0.05).Conclusion In the parturition of the second stage of the parturition with the projection of the tailbone,it can obviously shorten the time of the second stage of labor,reduce the amount of postpartum bleeding,reduce the cervical laceration,and reduce the risk of neonatal asphyxia.
Objective To investigate the application effect of clasping knees with both hands in the second stage of labor of coccyx protruding women.Methods From February 2016 to March 2018,68 cases of puerpera with protruding tailbone were selected and randomly divided into control group(34 cases) and observation group(34 cases).The second stage of labor,postpartum hemorrhage and newborn were compared between the two groups.Results The time of the second stage of labor in the observation group was shorter than that in the control group,the amount of blood loss at 2 hours after delivery in the observation group was significantly lower than that in the control group(P<0.05).The incidence of cervical laceration and neonatal asphyxia in the observation group was significantly lower than that in the control group(P<0.05).Conclusion In the parturition of the second stage of the parturition with the projection of the tailbone,it can obviously shorten the time of the second stage of labor,reduce the amount of postpartum bleeding,reduce the cervical laceration,and reduce the risk of neonatal asphyxia.
引文
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[10]刘春美,陈红,罗新.穴位按摩、抱膝及徒手扩张宫颈口对足月妊娠单胎头位产妇第一产程活跃期停滞的影响[J].广东医学院学报,2016,34(2):199-201.
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[13]陈美芳,黄海燕,张继红.半卧位屈大腿抱膝法与仰卧屈膝法分娩体位对产妇影响的对比研究[J].广西医学,2015,20(5):729-730.
[14]赵秀兰.手抱膝改变体位徒手旋转胎头术矫正枕横位、枕后位的临床效果观察[J].黑龙江医药科学,2015,38(2):144-145.
[2]朱文爱,王桂娜,余紫玲,等.导乐陪伴与第二产程半卧抱膝位对分娩结局的影响[J]护理实践与研究,2016,13(14):63-65..
[3]李洁,韦睿源,胡秋文,等.自主屏气用力侧卧位分娩联合无保护会阴对初产妇第二产程的影响[J].中外女性健康研究,2018,9(2):117-118.
[4]谢幸,苟文丽.妇产科学[M].北京:人民卫生出版社,2013:56.
[5]韦睿源,李洁,陈美芳,等.自由体位联合自主屏气用力对第二产程和分娩结局的影响[J].临床医药文献电子杂志,2016,3(57):11 373.
[6]刘丽园,潘菊英.分阶段体位管理联合自主屏气用力对初产妇第二产程和分娩结局的影响[J].中国医药科学,2016,6(16):107-109.
[7]黄海燕,张静,陈美芳,等.自主屏气用力联合不同体位管理在第二产程中对初产妇影响的研究[J].医学信息,2017,30(15):116-117.
[8]李菁.低危初产妇经产道头位分娩第二产程自发性用力有效降低会阴侧切率的临床应用[J].中外女性健康研究,2016,20(16):3-4.
[9]谢宏燕.夸张截石位配合拉玛泽闭气用力法在第二产程中的应用观察[J].世界最新医学信息文摘,2017,17(26):116-117.
[10]刘春美,陈红,罗新.穴位按摩、抱膝及徒手扩张宫颈口对足月妊娠单胎头位产妇第一产程活跃期停滞的影响[J].广东医学院学报,2016,34(2):199-201.
[11]史晓红,张浩,罗凤梅.第二产程指导用力和自主用力对初产妇分娩结局及疲倦度的影响[J].护理学杂志,2016,31(12):23-25.
[12]肖海雪.分阶段体位与自主屏气用力对初产妇出血量、会阴完整情况及分娩结局的影响[J].中国妇幼保健,2017,32(18):4555-4557.
[13]陈美芳,黄海燕,张继红.半卧位屈大腿抱膝法与仰卧屈膝法分娩体位对产妇影响的对比研究[J].广西医学,2015,20(5):729-730.
[14]赵秀兰.手抱膝改变体位徒手旋转胎头术矫正枕横位、枕后位的临床效果观察[J].黑龙江医药科学,2015,38(2):144-145.