水中分娩对婴儿健康影响的前瞻性研究

目的:了解水中分娩对婴儿健康的影响。方法:采用配对前瞻性队列研究，选取456例无禁忌证的孕产妇及其新生儿为对象，其中228例孕妇为水中分娩组，228例孕妇为传统分娩组，2组按照自愿选择水中分娩进行配对，分别在产后1 个月、6 个月及12 个月进行随访，了解婴儿的健康状况。结果:2组在新生儿体质量、Apgar评分、新生儿住院期间和1个月内健康状况、婴儿1～6个月和7～12个月随访疾病的发生率差异均无统计学意义（P>0.05）。结论:水中分娩对婴儿是安全可靠的。

The effect of water birth on infant health:a prospective study

Objective:To investigate the effects of water birth on infant health. Methods:Four hundred and fifty-six healthy women were investigated using matched prospective cohort method. The pregnant women were divided into the water birth group and traditional birth group(228 cases each group). Two groups were matched according to the voluntary choice of water delivery. All cases were followed up at 1,6 and 12 months after delivery,which was used to investigate the infant health. Results:The differences of the birth weight,APGAR score,heath in neonatal hospitalization and within 1 month,and the incidence of disease during the following-up of 1 to 6 months and 7 to 12 months between two groups were not statistically significant(P>0. 05). Conclusions:The water birth to baby is safe and reliable.