摘要
目的探讨在产程中半卧位的分娩效果。方法选择2006年4月—2010年9月我院住院分娩足月妊娠初产妇98例进行回顾性分析,同时分为观察组49例,采用床头抬高40~60°的半卧位分娩体位;对照组初产妇49例,采用常规平卧分娩体位为,对分娩方式、产程、产后出血、新生儿窒息情况等进行观察。结果观察组较对照组的第二产程明显缩短〔(25.02±10.82)min vs(60.13±20.93)min〕,差异有显著性(P<0.01),剖宫产率、产程延长率、产后出血率、新生儿窒息率均低于对照组(P<0.05)。结论半卧位分娩体位符合产道生理,可降低产后出血率,缩短产程,有利于胎头入盆下降,可缩短第二产程,提高自然分娩率,同时增加了产妇产后舒适感。
Objective To explore on recumbent delivery position at the time of impact, and observe its effect. Methods In our hospital from April 2006 to September 2010 ehoosed hospital delivery of full - term pregnancy 98 primipara and retrospectively analyzed, at the same time, divided into the observation group 49 eases (using head elevation of 40 to 60 degrees of semirecumbent delivery position) ; the control group 49 primipara with conventional proeumbent delivery position, mode of delivery, to produce, postpartum hemorrhage, neonatal asphyxia observation. Results In the observation group than in the con- trol group during the second stage of labor was significantly shorter [ (60. 13±20. 93) min vs (25.02± 10. 82) min], there was significant difference (P 〈0. 01 ), the rate of cesarean section rate, prolonged labor, postpartum hemorrhage, neonatal as-phyxia rate were lower than that of control group (P 〈 0. 05 ). Conclusion The semi - recumbent delivery position in line with the bixth canal physiology, decreasing the rate of postpartum hemorrhage, shortening the birth process, facilitates the engagement of head drop, can shorten the second stage of labor, improve the natural birth rate, while increased maternal postpartum comfort.
出处
《实用心脑肺血管病杂志》
2012年第4期605-606,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
分娩
体位
产程
Parturition
Posture
Labor stage