王鑫, 王秀梅, 王芳, 张晨. 产程中不同体位与运动对分娩结局的影响[J]. 蚌埠医学院学报, 2020, 45(1): 131-133. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.034
    引用本文: 王鑫, 王秀梅, 王芳, 张晨. 产程中不同体位与运动对分娩结局的影响[J]. 蚌埠医学院学报, 2020, 45(1): 131-133. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.034
    WANG Xin, WANG Xiu-mei, WANG Fang, ZHANG Chen. Effects of different postures and movement during labor on the delivery outcome[J]. Journal of Bengbu Medical College, 2020, 45(1): 131-133. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.034
    Citation: WANG Xin, WANG Xiu-mei, WANG Fang, ZHANG Chen. Effects of different postures and movement during labor on the delivery outcome[J]. Journal of Bengbu Medical College, 2020, 45(1): 131-133. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.034

    产程中不同体位与运动对分娩结局的影响

    Effects of different postures and movement during labor on the delivery outcome

    • 摘要:
      目的评价产妇自主体位和运动分娩法的临床效果及安全性。
      方法选择192例拟行阴道试产的初产妇随机均分成2组,观察组产妇采用自主体位和运动分娩助产;对照组产妇采用传统平卧或侧卧体位。比较2组产程情况和新生儿情况。
      结果观察组产妇的剖宫产率和会阴侧切率均显著低于对照组(P < 0.05);阴道分娩率显著高于对照组(P < 0.01),而2组间阴道助产率差异无统计学意义(P>0.05)。观察组产妇第一、第二产程及总产程时间均显著低于对照组(P < 0.01)。观察组产妇分娩疼痛VAS评分、产后2 h出血量、新生儿Apgar评分显著小于对照组(P < 0.01)。
      结论自主体位和运动分娩能够转移产妇注意力、舒缓情绪、减轻分娩疼痛、缩短产程,提高阴道试产成功率。

       

      Abstract:
      ObjectiveTo evaluate the clinical effects and safety of autonomic position and movement delivery in puerpera.
      MethodsOne hundred and ninety-two parturient women planned by vaginal delivery were divided into the observation group and control group.The observation group was treated with autonomic position and movement delivery midwifery, and the control group was treated with traditional supine or lateral position.The labor course and neonatal condition were compared between two groups.
      ResultsThe cesarean section and perineal incision rates in observation group were significantly lower than those in control group (P < 0.05), the vaginal delivery rate in observation group was higher than that in control group (P < 0.01), and the difference of the rate of vaginal midwifery between two groups was not statistically significant (P>0.05).The first, second and total labor time in observation group were significantly shorter than those in control group (P < 0.01).The VAS score of labor pain, postpartum 2 h blood loss and Apgar score of newborn in observation group were significantly less than those in control group (P < 0.01).
      ConclusionsThe autonomic position and movement delivery can transfer the maternal attention, relieve emotion, reduce labor pain, shorten labor and improve the success rate of vaginal delivery.

       

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