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不同分娩方式对初产妇母婴结局、产后盆底功能的影响

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目的 探讨不同分娩方式对初产妇母婴结局、产后盆底功能的影响。方法 选取青岛市胶州中心医院2020年1月至2021年12月收治的324例初产妇作为研究对象,按照随机数字表法分为观察组(采用会阴无保护分娩方式)162例与对照组(采用会阴保护分娩方式)162例。观察两组的会阴情况、生产情况、母婴结局以及盆底功能。结果 观察组会阴裂度为0度与Ⅰ度的例数以及会阴无裂伤比例明显高于对照组(P<0。05)。观察组初产妇疼痛评分、出血量均低于对照组初产妇(P<0。05)。观察组新生儿窒息、宫内感染、产妇产后出血与软产道撕裂等发生率明显低于对照组(P<0。05),初产妇产后出血与软产道撕裂等发生情况低于对照组(P<0。05)。结论 初产妇会阴无保护分娩方式有一定改善母婴结局与产后盆底功能的作用。
Influence of different delivery methods on maternal-infant outcomes and postpartum pelvic floor function in primiparae
Objective To explore the influence of different delivery methods on the maternal-infant outcomes and postpartum pelvic floor function in primiparae.Methods A total of 324 primiparae admitted to Jiaocheng Central Hospital of Qingdao from January 2020 to December 2021 were selected as the research subjects.They were divided into the observation group(162 cases,using unprotected perineal delivery)and the control group(162 cases,using protected perineal delivery)by using the random number table method.The perineal condition,delivey status,maternal-infant outcomes,and pelvic floor function were observed in both groups.Results The number of cases with 0 degree and the number of cases with Ⅰ degree of perineal laceration in the observation group were significantly higher compared to the control group(P<0.05).The pain score and blood loss of primiparae in the observation group were lower than those in the control group(P<0.05).The incidence rates of neonatal asphyxia,intrauterine infection,postpartum hemorrhage and soft birth canal tear in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The use of unprotected perineal delivery in primiparae has a certain effect on improving maternal-infant outcomes and postpartum pelvic floor function.

deliveryprimiparaematernal-infant outcomespostpartum pelvic floor functionperineal protection

高爱梅、王占晖、张洁

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青岛市胶州中心医院产科,山东胶州 232000

青岛市胶州中心医院健康管理科,山东胶州 232000

分娩 初产妇 母婴结局 产后盆底功能 会阴保护

青岛市医疗卫生重点学科建设项目

2024

中国妇产科临床杂志
北京大学

中国妇产科临床杂志

CSTPCD北大核心
影响因子:1.095
ISSN:1672-1861
年,卷(期):2024.25(3)
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