实施分娩期体位护理的临床体会

目的探讨分娩期体位护理对缩短产程、促进自然分娩、降低剖宫产率、减少产后出血及新生儿窒息发生率的作用。方法选择我院2003年3月至2004年3月216例孕妇为实验组，在孕妇人产房待产时，第一产程根据孕妇具体情况采取自由体位、坐位、半卧位、胎儿脊柱同侧侧俯卧位，第二产程采取膀胱截石位加半卧位，第三产程取平卧位。随机抽取2002年孕妇190例作为对照组。观察两组产妇各产程时间、分娩方式、新生儿Apgar评分、产后出血等。结果实验组第一产程、第二产程、总产程时间均较对照组缩短，自然分娩率较对照组提高涪0宫产率和阴道助产率明显下降，新生儿窒息及产后出血明显减少，两组比较有统计学意义（P〈O，01）。结论实施分娩期体位护理，有利于缩短产程，提高自然分娩率，提高分娩质量，利于母婴健康。

Clinical Experience on Body Posture Attendance during Delivery

Objective To investigate the role of body posture attendance during delivery in promoting spontaneous delivery and reducing postpartum hemorrhage(PPH)and neonatal asphyxia.Methods A total of 216 parturient females in Shandong provincial hospital during March 2003 to March 2004 were taken as experimental group.After entering the delivery room,the would-be-mothers were subjected to freedom posture,sitting position,semi-reclining position or lateral decubitus coincidence with fetus's vertebral column at the first stage,to lithotomy position in expulsive stage,and prostration in placental stage.Another 190 parturient females were taken as controls in 2002.Birth duration,delivery mode,Apgar score and postpartum hemorrhage were observed in both groups.Results Compared with control group,the experimental group had shorter first stage,expulsive stage,placental stage as well as total stage of labor.The spontaneous parturient rate in experimental group was higher than that in control group.The rates of PPH and neonatal asphyxia were significantly lower in experimental group(P<0.05).Conclusion Body posture attendance during delivery can shorten total stage of labor,increase spontaneous parturient rate,and raise delivery quality,benefiting the health of both mother and baby.