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新式产程管理指导下无痛分娩对产妇和新生儿结局的影响

The effects of painless delivery guided by the new concept of childbirth on maternal and neonatal outcomes

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目的:探讨新式产程管理指导下的无痛分娩对产妇和新生儿结局的影响.方法:选取在医院接受无痛分娩的100例初产妇作为研究对象,分为实验组和对照组,各50例.实验组产妇采用新式产程管理,对照组产妇则采用常规产程管理,比较两组产妇和新生儿的结局及第一和第二产程的持续时间、总产程、第一产程的医疗干预、完全宫颈扩张时的视觉模拟量表(VAS)评分、分娩方法和产妇满意率.结果:对照组产妇的第一、第二产程以及总产程都比实验组短(均P<0.001);对照组产妇的人工破膜率和静脉使用催产素的比率高于实验组(均P<0.05);对照组产妇完全宫颈扩张时的VAS评分明显高于实验组(P<0.05);对照组产妇的阴道分娩率和满意度明显低于实验组(均P<0.05).结论:新式产程管理指导下的无痛分娩对产妇和新生儿结局无明显影响.相反,通过适当延长产程,减少了分娩时的过度干预,为孕妇提供更多分娩时间,减少分娩疼痛,最终提高自然分娩率及分娩满意度,值得临床推广.
Objective:To investigate the possible effects of painless delivery under the new concept of childbirth on maternal and neonatal outcomes.Methods:First-time mothers who underwent painless delivery in our hospital were selected as the subjects of this retrospective clinical study and divided into experimental and control groups.The experimental group was managed using the new delivery management method,while the control group was managed using the conventional delivery management method.Maternal and neonatal outcomes,duration of the first and second stage of labor,total duration of labor,medical interventions in the first stage of labor,visual analog scale(VAS)scores at complete cervical dilatation,method of delivery,and maternal satisfaction rates were compared between the two groups.Results:The first and second stages of labor as well as the total duration of labor were shorter in the control group than in the experimental group(all P<0.001).The rate of manual rupture of membranes and the rate of intravenous oxytocin use were higher in the control group than in the experimental group(all P<0.05).The VAS score at complete cervical dilatation was significantly higher in the control group than in the experimental group(P<0.05).The rate of vaginal delivery and maternal satisfaction were significantly lower in the control group than in the experimental group(all P<0.05).Conclusion:Painless delivery guided by the new concept of delivery has no significant effect on maternal and neonatal outcomes.On the contrary,it can prolong labor,provide more time for delivery,reduce interventions during delivery,reduce labor pain,and ultimately improve the rate of spontaneous delivery and its satisfaction with delivery,which is worth to be widely promoted in clinical practice.

new concept of deliverypainless deliverymaternal and neonatal outcome

余志霞、章素芬

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望江县人民医院 安徽望江 246200

新理念分娩 无痛分娩 产妇和新生儿结局

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(2)
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