摘要
目的 采纳新产程标准在潜伏期活动管理与分娩体验中的应用效果.方法 选择2015年5月—2016年3月足月妊娠单胎、头位,无妊娠并发症100名临产初产妇,随机分为两组各50人;入组后助产士结合待产体位图讲解并指导离床骨盆摇摆运动.观察组采用新产程标准：正式临产至宫口开6 cm采用本能舒适体位,予适当体位指导;对照组沿用Friedman产程标准,产程无明显进展时积极医疗干预,体位改变措施、产科常规护理与观察组一致.VAS观察两组潜伏期活动前后宫缩痛、腰背痛和下腹压力;采用VAS-A测量焦虑及满意度.结果 观察组活动前后宫缩痛、腰背痛、下腹压力、焦虑情绪改善优于对照组,差异有统计学意义（P〈0.05）;观察组分娩时长短于对照组、正常分娩率（86%）高于对照组（66%）、产后2 h出血量比较,差异有统计学意义（P〈0.05）;两组新生儿Apgar 1 min、5 min评分比较,差异无统计学意义（P〉0.05）;满意度得分比较差异有统计学意义（P〈0.05）.结论 采纳新产程标准管理潜伏期,可能更符合孕产妇的身心需求,值得临床推广,但需要进行深入研究分析.
Objective To study the effect of new labor standard management on the incubation period of labor primipara.Methods Totals of 100 cases of labor primipara with full-term pregnancy, monocyesis, heading, and without pregnancy complications from May 2015 to March 2016 were selected and divided into two groups, and 50 cases for each group. Then, combined with the delivery position chart, the midwife explained and instructed the off-bed pelvis rocking movement. New labor standards were used for observation group. In observation group, instinctive and comfortable postures combined with appropriate position guidance were used during the period from formal parturiency to 6 cm-opening of mouth womb; For the control group, Friedman birth chart was used without obvious active medical intervention in the progress of labor, while position changes and obstetrical routine care were consistent with that of the observation group; Visual analogue scale method （VAS） was used to observe the incubation period （latent phase, LP）, contractions pain, low back pain and lower abdomen pressure before and after event; By using visual analog anxiety scale（VAS-A）, anxiety and satisfaction were measured.Results Contraction pain, low back pain, abdominal pressure and anxiety in observation group before and after the event were remarkably improved than that of control group （P〈0.05）. The delivery time of observation group was shorter than that of control group. The normal births rate of observation group （86%） was higher than that of control group （66%）. Two-hour postpartum hemorrhage quantity was also significantly different between the two groups （P〈0.05）. There were no significant differences for neonatal Apgar 1 min, 5 min scores between the two groups （P〉0.05）. Remarkable difference was observed for satisfaction scores between the two groups （P〈0.05）.Conclusions New labor standard management for incubation period may promote vaginal delivery women to establish self-confidence and to improve normal birth rate.
出处
《中华现代护理杂志》
2017年第9期1235-1239,共5页
Chinese Journal of Modern Nursing
基金
浙江省人口计划生育科研项目（2014KYB319）
浙江省人民医院护理科研项目（2016HLB006）
关键词
新产程
潜伏期
骨盆
体位
初产妇
New labor standard
Latent phase
Pelvis
Maternal position
Primipara
