Short-Term and Long-Term Effects of Natural Cesarean Section on Mothers and Infants:Clinical Evaluation of A New Type of Cesarean Section
Objective:To explore the application effect of natural cesarean section in cesarean section parturients and its influence on parturients and newborns.Methods:140 parturients undergoing elective cesarean section were selected,and patients were divided into study group(head position,natural cesarean section)and routine group(non-head position,routine cesarean section)according to neona-tal head position and operation method,with 70 cases in each group.70 parturients who underwent elective vaginal delivery were select-ed as control group.The breastfeeding status(breast milk secretion time,breastfeeding success rate),intraoperative blood loss,pain and psychological status[visual analogue scale(VAS),Edinburgh postnatal depression scale(EPDS),perceived social support scale(PSSS)]scores,vital signs and intestinal flora in three groups were compared.Results:The breast milk secretion time in study group and control group was shorter than that in routine group,and the success rate of breastfeeding was higher than that in routine group(P＜0.05).The VAS score and EPDS score in three groups decreased 42 d after delivery,and the VAS score and EPDS score in study group and control group were lower than those in routine group(P＜0.05);the PSSS scores in three groups increased 42 d after delivery,and the PSSS scores in study group and control group were higher than those in routine group(P＜0.05).The body temperature of newborns in study group and control group were higher than those in routine group at 60 min after birth and 120 min after birth,and the heart rate was lower than that in routine group(P＜0.05).The number of bifidobacteria and lactobacilli in newborns in study group and control group was higher than that in routine group 3 months after birth,and the number of escherichia coli and enterococcus was lower than that in routine group(P＜0.05).Conclusion:Compared with traditional cesarean section,natural cesarean section can obtain the effect close to natural vaginal delivery,which can improve postpartum pain and adverse psychological state,increase breastfeeding rate,and help improve the intestinal flora and vital signs of newborns.
NETL
NSTL
万方数据
