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无创接产对母儿分娩结局的影响

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目的 探讨无创接产对母儿分娩结局的影响.方法 将阴道分娩的单胎足月低危初产妇100例分为观察组和对照组,各50例.观察组使用无创接产技术,必要时适当保护会阴;对照组使用传统的会阴保护方法.观察并比较两组会阴侧切率、第二产程时间、新生儿Apgar评分及产妇满意度.结果 两组产妇第二产程时间、产后2h出血量及新生儿Apgar评分比较,差异无统计学意义(P>0.05);观察组会阴侧切率较对照组显著降低,差异有统计学意义(x 2=11.111,P<0.05);两组产妇满意度比较差异有显著性(Z=2.288,P<0.05).结论 无创接产在不增加母儿风险的基础上,可有效降低会阴侧切率,是一种安全、可行的接产方法.
EFFECT OF NONINVASIVE DELIVERY ON OUTCOMES OF MOTHER AND INFANT
Objective To investigate the effect of noninvasive delivery on the outcomes of mother and infant.Methods A total of 100 low-risk primiparas with full term singleton fetus who were admitted to our hospital to perform vaginal delivery were equally and randomly divided into observation group and control group.The observation group underwent noninvasive delivery,and appropriate perineal protection would be performed if necessary.The control group underwent traditional delivery and perineal pro tection.The rate of lateral episiotomy,time of the second stage of labor,neonatal Apgar score,and the degree of maternal satisfaction were compared between the two groups.Results There were no significant differences in the second stage of labor,postpartum bleeding (2 h after labor),and neonatal Apgar score between the two groups (P>0.05).The observation group had a sig nificantly lower rate of lateral episiotomy than the control group (x2 =11.111,P<0.05).There was a significant difference in the degree of maternal satisfaction between the two groups (Z=2.288,P<0.05).Conclusion Noninvasive delivery can effectively reduce the rate of lateral episiotomy without increasing the risk of mother and infant,and it is a safe and feasible delivery method.

delivery, obstetricnatural childbirthepisiotomy

钱丹艳、张薇、朱丹

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无锡市妇幼保健院临产室,江苏无锡 214002

接生,产科 自然分娩 会阴切开术

无锡市卫生计生委妇幼健康科研项目

FYKY-201606

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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