无保护接生185例临床分析

目的探讨无保护接生降低初产妇会阴侧切率的方法和效果,降低分娩住院费用。方法回顾性分析2012年10月月本院采用新式无保护接生法接生的初产妇185例产妇的临床资料,并以2012年8月采用传统接生法的初产妇185例产妇作为对照组,比较两组初产妇会阴侧切率、会阴裂伤情况。结果观察组未作会阴侧切,会阴仅有121例一度裂伤,45例二度裂伤,19例会阴均完好无创口,对照组会阴侧切112例（60.54%）,22例一度裂伤,41例二度裂伤,7例会阴无创口。结论新式无保护接生理念的应用可明显降低初产妇会阴侧切率,明显降低对会阴损伤,值得临床进一步研究推广。

Clinical analysis of 185 cases of unprotected delivery

Objective To explore the approach and effect of unprotected birth primiparas to reduce laberal episiotomy rate. Methods A retrospective analysis of data collected in the current hospital from 185 cases of delivery using the new protected method with a control group of 185 cases of delivery using traditional method.Two groups are compared to each other in terms of primipara episiotomy rate and perineal lacerations. Results The group of primipara episiotomy rate, only 121 cases of laceration of one degree perineum, 45 cases of two degree laceration, 19 cases of unwounded perineum; with the control group, 121 cases of lateral episiotomy were identified （60.54%）, 22 cases of one degree laceration, 41 cases of two degree laceration and 7 cases of unwounded perineum. Conclusion The application of the new concept of unprotected delivery can reduce the rate of perineal cut primipara and significantly reduce injury of perineum, therefore worthy of further clinical study.