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坐式分娩对母儿影响的临床观察 被引量:5

Effects of sitting delivery position on maternal and fetus
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摘要 目的 探讨坐式分娩对母儿的影响。方法 选择初产妇 2 40例 ,按随机表法分成坐式分娩组 12 0例和仰卧位组 12 0例 ,前者又根据产床高度不同分为A、B、C组。观察两组孕妇的产程时间、分娩方式、分娩时失血量、催产素应用及新生儿情况。结果 坐式分娩组的第二产程时间低于仰卧位组 ,且B组、C组与仰卧位组比较有显著性差异 (P <0 0 1) ;坐式分娩组中B、C组的催产素应用孕妇人数明显少于仰卧位组 (P <0 0 5 )。两组产后出血量、新生儿体重及新生儿窒息率比较无显著性差异 (P >0 0 5 )。结论 坐式分娩可有效地缩短第二产程 ,且有利于产妇在分娩过程中保持良好的心理状态 。 Objective To investigate the effect of sitting delivery position on maternal and fetus.Methods 240 normal primigravidas were randomly divided into the group of sitting delivery position(n=120) and the other group of supine delivery position(n=120).The former was divided into group A,group B and group C according to the height of the labour bed.Duration of the labour,way of delivery,bleeding volume,using of oxytocin and the situation of fetus in the groups were recorded.Results The average length of the second stage in group B and C was significantly shorter than that of the group of supine delivery position(P<0.01).The number of pregnant women needing oxytocin in group B and C was significantly fewer than that of the group of supine delivery position(P<0.05).There were no significant differences in bleeding volume,the weights of newborns and the rate of asphyxia neonatus between two groups(P>0.05).Conclusion The sitting delivery position may shorten effectively the second stage of labour and keep pregnant women in a good mood during the labour.It also benefits fetus.So it maybe adopted in most obstetric units.
出处 《江苏医药》 CAS CSCD 北大核心 2002年第5期348-349,共2页 Jiangsu Medical Journal
关键词 坐式分娩 临床观察 孕妇 胎儿 Labour Posture Obstetrical
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  • 1郑怀美.妇产科学,第3版[M].北京:人民卫生出版社,1991.136.
  • 2区熙东,中华妇产科杂志,1997年,32卷,329页
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  • 5区煦东,陈小兵,苏静,苏晔兰,苏春宏,郑子莹.产程中改变产妇体位矫正胎方位的探讨[J].中华妇产科杂志,1997,32(6):329-332. 被引量:146

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