分娩镇痛初产妇采用自由体位纠正胎方位异常的研究
Study on the use of free position delivery for correcting abnormal fetal positions in primiparous women during labor analgesia
蔡军红 1蔡诗琪 1贺英英 2何芬 2林毅萍 2刘贤 3叶彩容2
作者信息
- 1. 深圳市宝安区妇幼保健院护理部(广东深圳,518100)
- 2. 深圳市宝安区妇幼保健院产房(广东深圳,518100)
- 3. 深圳市宝安区妇幼保健院麻醉手术室(广东深圳,518100)
- 折叠
摘要
目的 探讨自由体位在分娩镇痛初产妇纠正胎方位异常中的应用效果.方法 选取分娩镇痛足月初产妇为研究对象,按入院时间分为对照组及干预组.对照组104例行常规仰卧位或半坐卧位分娩,干预组129例采用自由体位分娩.比较两组产妇胎方位异常纠正率、缩宫素使用、分娩方式、第二产程及总产程时间、产后2 h阴道流血量、会阴损伤情况及新生儿Apgar评分.结果 干预组胎方位自然纠正率显著高于对照组,两组分娩方式比较,差异有统计学意义(均P＜0.05);两组缩宫素使用、会阴损伤、产程时长、产后2 h阴道流血量及新生儿Apgar评分比较,差异无统计学意义(均P＞0.05).结论 自由体位分娩能够有效纠正胎方位异常,促进正常分娩,改善不良妊娠结局.
Abstract
Objective To explore the effect of applying free positioning to primiparous women during labor analgesia for correcting abnormal fetal positions.Methods Full-term in-labor primiparas with abnormal fetal position were selected and divided into 2 groups according to the time of admission.The control group(n=104)was subjected to routine supine positioning or semi-sitting positioning during labor,while the intervention group(n=129)was subjected to free positioning.The rates of fetal position cor-rection and oxytocin use,the mode of delivery,the duration of second stage of labor and all stages of labor,and the vaginal blee-ding volume within 2 h postpartum,the incidence rate of perineal injury,and neonatal Apgar score were compared between the two groups.Results The rate of fetal position natural correction in the intervention group was significantly higher than that in the con-trol group;the mode of delivery had significant difference between the 2 groups(both P＜0.05).The rates of oxytocin use and perineal injury,the duration of labor stages,the vaginal bleeding volume within 2 h postpartum,and neonatal Apgar score had no significant differences between the 2 groups(all P＞0.05).Conclusion Free position delivery can effectively correct abnormal fetal position,boost a natural birth,and improve adverse pregnancy outcomes.
关键词
分娩/胎方位异常/分娩镇痛/自由体位/产程/分娩方式/会阴损伤/阴道流血Key words
in labor/abnormal fetal position/labor analgesia/free position/stage of labor/mode of delivery/perineal in-jury/vaginal bleeding引用本文复制引用
基金项目
深圳市宝安区科技局立项项目(2020JD089)
出版年
2024
NETL
NSTL
万方数据