摘要
目的研究产前训练拉玛泽呼吸法配合临产后自由体位对自然分娩的影响。方法选择80例孕妇进行拉玛泽呼吸指导训练为观察组,并跟踪掌握孕妇练习的效果,记录在门诊病历,孕妇入院分娩后,分娩过程指导产妇从第一产程的潜伏期至第二产程结束运用拉玛泽呼吸法配合自由体位辅助分娩;选取同期未进行拉玛泽呼吸配合自由体位分娩的产妇80例为对照组,对比两组产妇产程时间、产后2 h出血量、围生期疼痛程度、新生儿窒息发生率。结果对照组围生期疼痛为0级10例、Ⅰ级16例、Ⅱ级11例、Ⅲ级7例,观察组0级17例、Ⅰ级23例、Ⅱ级3例、Ⅲ级1例,两组比较差异有统计学意义(P<0.05)。对照组第一、二、三产程时间为(549.32±51.12)、(59.53±12.32)、(18.29±4.28)min,观察组为(359.63±36.68)、(41.49±8.82)、(12.58±2.43)min;观察组第一、二、三产程时间均明显短于对照组(P<0.05)。对照组与观察组产妇产后2 h出血量分别为(238.61±26.87)、(144.75±17.70)ml,差异有统计学意义(P<0.05)。对照组新生儿窒息发生率为15.9%,观察组新生儿窒息发生率为2.3%,差异有统计学意义(P<0.05)。结论产前训练拉玛泽呼吸法配合临产后自由体位应用于自然分娩产妇的临床效果非常明显。
Objective To study impact of prenatal training Ramaze breathing method combined with free position after labor on natural childbirth. Methods 80 pregnant women with Ramaze breathing guide training were selected as observation group,pregnant women practice effect was tracked and mastered,the outpatient medical record was recorded.Pregnant women admitted for delivery,Ramaze breathing method combined with free position after labor were applied in delivery process to guide mother from incubation period to the end of the second stage of labor first birth process.80 pregnant women without Ramaze breathing guide training in the same period were selected as control group.Maternal labor time,postpartum hemorrhage volume of 2 hours,perinatal pain degree,incidence rate of neonatal asphyxia in two groups were compared. Results In control group,10 cases of perinatal pain grade 0,16 cases of grade Ⅰ,11 cases of grade Ⅱ,7 cases of grade Ⅲ;in observation group,17 cases of perinatal pain grade 0,23 cases of grade Ⅰ,3 cases of grade Ⅱ,1 cases of grade Ⅲ,with statistical difference（P〈0.05）.The first,second and third of birth process in control group was（549.32±51.12）,（59.53±12.32）,（18.29±4.28） min respectively,the first,second and third of birth process in observation group was（359.63±36.68）,（41.49±8.82）,（12.58±2.43） min respectively,the first,second and third of birth process in observation group was significantly shorter than that in control group respectively（P〈0.05）.Postpartum hemorrhage volume of 2 hours in control group and observation group was（238.61±26.87）,（144.75±17.70） ml respectively,with statistical difference（P〈0.05）.Incidence rate of neonatal asphyxia in control group was 15.9%,incidence rate of neonatal asphyxia in observation group was 2.3%,with statistical difference（P〈0.05）. Conclusion Prenatal training Ramaze breathing method combined with free position after labor applied in natural childbirth has significant clinical effect.
出处
《中国当代医药》
2015年第1期63-65,共3页
China Modern Medicine
基金
江西省赣州市指导性科技计划任务(GZ2014ZSF416)
关键词
拉玛泽呼吸法
自由体位
自然分娩
Ramaze breathing method
Free position
Natural childbirth
