无保护会阴助产对初产妇分娩质量的影响
杨红芳
(扶风县中医院,陕西 宝鸡,722200)
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摘要:
目的 研究分析无保护会阴助产对初产妇分娩质量的影响。方法 选取于我院待产的初产妇124 例,随机分为观察组与 对照组,各62 例。观察组给予无保护会阴助产,对照组给予传统助产,比较两组初产妇的分娩质量。结果 观察组产妇产后 24 h 出血量显著少于对照组,差异具有统计学意义(P<0.05);观察组新生儿窒息评分、产妇抑郁评分显著优于对照组(P< 0.05);观察组第一、二产程均明显短于对照组,差异具有统计学意义(P<0.05);观察组产妇阴道分娩率、剖宫产率、会阴侧切 率、新生儿窒息率、护理满意度均显著优于对照组,差异具有统计学意义(P<0.05)。结论 在初产妇分娩中给予无保护会阴助 产,能够显著减少会阴侧切率,提高初产妇的分娩质量及满意度,具有临床推广价值。
关键词:初产妇;无保护会阴助产;分娩质量;满意度
中图分类号:R717文献标志码:A文章编号:2096-1413(2018)01-0129-02
Effect of unprotected perineum midwifery on delivery quality of primipara
YANG Hong-fang
(Traditional Chinese Medicine Hospital of Fufeng County, Baoji 722200, China)
ABSTRACT: Objective To study the effect of unprotected perineum midwifery on delivery quality of primipara. Methods A total of 124 cases of primipara in our hospital were selected and randomly divided into observation group and control group, with 62 cases in each group. The observation group was treated with unprotected perineum midwifery, and the control group was treated with traditional midwifery. The delivery quality was compared between the two groups. Results The 24 h postpartum hemorrhage in the observation group was significantly less than that of the control group, and the difference was statistically significant (P<0.05). The scores of neonatal asphyxia and maternal depression in the observation group were significantly better than those in the control group, and the differences were statistically significant (P<0.05). The first and second stage of labor in the observation group were significantly shorter than those in the control group, and the differences were statistically significant (P<0.05). The maternal vaginal delivery rate, cesarean section rate, perineotomy rate, neonatal asphyxia rate and nursing satisfaction in the observation group were significantly better than those in the control group (P<0.05). Conclusion The unprotected perineum midwifery for primipara can significantly reduce the rate of episiotomy and improve the delivery quality and satisfaction of primipara, which is worthy of clinical promotion.
KEYWORDS: primipara; unprotected perineum midwifery; delivery quality; satisfaction
参考文献:
[1] 蔡玉娟,林丽萍,徐忠平,等.改良会阴麻醉预防无保护助产会阴损伤的效果[J].护理学杂志,2015,30(10):36-37.
[2] 郑群英.国际无保护会阴助产法与传统助产法的临床效果对照[J].医学理论与实践,2015,28(19):2670-2671.
[3] 马丽娜.无保护会阴助产技术促进自然分娩的效果观察[J].中外女性健康研究,2015,10(21):51,55.
[4] 王艳霞.无保护会阴助产技术在初产妇中的应用效果分析[J].牡丹江医学院学报,2015,36(3):74-75.
[5] 曹清莲,吕春华.无保护会阴接生法及心理支持对初产妇分娩的效果评价[J].浙江临床医学,2015,17(9):1520-1521.
[6] 秦连芝.拉玛泽分娩法联合改良会阴无保护接生对分娩质量的影响[J].中国当代医药,2016,23(17):171-173.
[7] 廖少美.无保护会阴助产技术用于自然分娩的效果分析[J].大家健康旬刊,2016,10(10):175.
[8] 韦文雪,石娟.无保护会阴助产技术对初产妇分娩影响的临床分析[J].临床医学研究与实践,2016,1(8):68.
[9] 樊瑞敏.浅析无保护会阴助产技术对自然分娩的促进作用[J].中国保健营养,2016,26(10):88-89.
[10] 吴芬英,李媛,陶国风.无保护会阴助产技术对分娩结局的影响[J].浙江创伤外科,2016,21(5):850-852.
[11] 闫培霞.无保护会阴助产技术对自然分娩的促进作用分析[J].河南医学研究,2015,24(8):34-35.
[12] 黄爱.无保护会阴接生技术在初产妇自然分娩中的应用效果[J].现代医药卫生,2014,30(24):3733-3734.
[13] 李文献.无保护会阴助产技术对自然分娩的影响效果观察[J].中国现代药物应用,2016,10(16):285-286.
[14] 吴晓明.无保护会阴接生技术在分娩中的效果观察[J].中外女性健康研究,2015,23(21):188.