产程早期体位干预对初产妇分娩结局的影响

目的 探讨产程早期体位干预对初产妇分娩结局的影响,以预防不良妊娠结局。 方法 选取2015年1月-2016年1月待产初产妇150例为研究对象,随机分为2组。对照组由产妇自主选择分娩体位,观察组从第一产程潜伏期开始进行早期体位干预。比较2组产程时间、分娩疼痛程度、分娩方式及分娩结局。 结果 观察组第一产程、第二产程、第三产程时间分别为(425.5±91.5)min、(46.2±10.3)min、(6.3±1.7)min,均明显短于对照组的(582.7±103.8)min、(59.3±12.7)min、(9.5±2.1)min;第一产程、第二产程分娩疼痛均轻于对照组;自然分娩率88.0%,明显高于对照组的72.0%;产妇宫缩乏力、产程停滞发生率分别为8.0%、6.7%,明显低于对照组的22.7%、20.0%;新生儿头皮血肿发生率为0,明显低于对照组的8.0%。 结论 产程早期体位干预有助于初产妇加快分娩、减轻产妇分娩时疼痛、提升自然分娩率并降低围生期产妇及新生儿不良妊娠结局的发生率。

The effect of early maternal posturing intervention on the the outcome of delivery in primiparas

Objective To explore the effect of early maternal posturing intervention on the outcome of delivery in primiparas, so as to avoid adverse pregnancy outcomes. Methods Totally 150 primiparas to deliver between January 2015 and January 2016 were selected and randomly divided into an observation group and a control group, each of 75. The observation group was given the maternal posturing intervention from the early period of the first stage of labor, while the control group was allowed to choose their postures independently. The labor time, labor pain, mode of delivery and delivery outcomes were compared between the 2 groups. Results The duration of the first, second and third stage of labor in the observation group lasted (425.5±91.5) min, (46.2±10.3) min and (6.3±1.7) min respectively, significantly shorter than (582.7±103.8) min, (59.3±12.7) min and (9.5±2.1) min of the control group. The degree of labor pain during the first and second stage of labor in the observation group was significantly lighter than in the control group. The natural birth rate in the observation group was 88.0%, significantly higher than 72.0% of the control group. The rate of maternal uterine atony and labor stagnation in the observation group were 8.0% and 6.7%, significantly lower than 22.7% and 20.0% of the control group. The rate of neonatal scalp hematoma in the observation group was 0, significantly lower than 8.0% in the control group. Conclusion Early maternal posturing intervention can help to speed up delivery, relieve the maternal labor pain, improve natural childbirth rate and reduce perinatal maternal and neonatal adverse outcomes.