不同的干预方法对初产妇第2产程的影响

目的 探讨长强穴按压及阴道按压的方法 对初产妇第2产程的影响.方法 将180例初产妇随机分为3组,每组60例,分别对进入第2产程的初产妇采用长强穴按压(长强穴按压组)、阴道按压(阴道按压组)和常规指导(对照组)的方法 进行干预.对3组子宫收缩持续时间、第2产程时间、产后2 h阴道流血量、分娩方式、会阴损伤情况、新生儿出生情况进行评估.结果 长强穴按压组、阴道按压组各项指标与对照组比较有显著差异.长强穴按压组、阴道按压组2组比较无显著差异.结论 初产妇第2产程运用长强穴按压及阴道按压的方法干预能促进第2产程进展,降低剖宫产率及新生儿窒息率,提高产科质量.

Abstract：

Objective To study the influence on primipara's second stage of labor with the methods of Changqiang-pressing and Vaginal-pressing. Methods 180 primipara in the second stage of labor were randomly divided into 3 groups of 60 each, in which Changqiang-pressing, Vaginal-pressing and general guidance (the control group) were used respectively. The duration of uterine contraction and second stage of labor, vaginal bleeding amount in 2 hours after delivery, mode of delivery, perineal injury and birth case would be evaluated. Results The results in both Changqiang-pressing group and Vaginal-pressing group were statistically significant when compared with the control group, but there was no significant difference between Changqiang-pressing group and Vaginal-pressing group. Conclusions Using Changqiang-pressing and Vaginal-pressing can promote the progress of the second stage of labor for primipara, reduce the rate of cesarean section and neonatal asphyxia, and improve the quality of obstetric department.

Influence of different intervention methods on the second stage of labor of primipara

Objective To study the influence on primipara's second stage of labor with the methods of Changqiang-pressing and Vaginal-pressing. Methods 180 primipara in the second stage of labor were randomly divided into 3 groups of 60 each, in which Changqiang-pressing, Vaginal-pressing and general guidance (the control group) were used respectively. The duration of uterine contraction and second stage of labor, vaginal bleeding amount in 2 hours after delivery, mode of delivery, perineal injury and birth case would be evaluated. Results The results in both Changqiang-pressing group and Vaginal-pressing group were statistically significant when compared with the control group, but there was no significant difference between Changqiang-pressing group and Vaginal-pressing group. Conclusions Using Changqiang-pressing and Vaginal-pressing can promote the progress of the second stage of labor for primipara, reduce the rate of cesarean section and neonatal asphyxia, and improve the quality of obstetric department.