不同分娩体位对产程及围生结局影响的研究

目的研究不同分娩体位对产程及围生结局的影响。方法将120例初产妇按住院先后顺序分为观察组、对照组各60例,对照组采取传统体位,观察组采取自主体位;观察两组产程时间、分娩方式、新生儿出生Apgar评分、产后2 h出血量。结果观察组产程时间、难产率低于对照组,两组比较有统计学意义(P0.05);观察组产后2 h出血量及新生儿窒息发生率较对照组低,但两组比较差异无统计学意义。结论应用自主体位分娩符合产道生理,能缩短产程,降低难产率,减少产后出血及新生儿窒息发生率,提高分娩质量。

Study on effect of different delivery position on labor and perinatal outcomes

Objective To study effect of different delivery position on labor and perinatal outcomes.Method Divide 120 primiparas into observation group and control group equally according to hospitalizing order.Primiparas in control group take routine position.Primiparas in observation group take active position.Observe labor time,delivery mode,newborn Apgar score and blood loss 2h after delivery.Result Compared to control group,labor time is shorter and difficult labor rate is lower in observation group.The difference is significant（P0.05）.Blood loss 2h after delivery is less and neonatal asphyxia rate is lower in observation group.There is no significant difference.Conclusion Active delivery position can meet the physiology of birth canal.It can shorten the labor,reduce difficult labor rate,blood loss and neonatal asphyxia rate and improve quality of delivery.