论文部分内容阅读
目的分析2015-2016年仙桃市仁爱医院无痛分娩开展情况,探讨其对产时保健质量的提升作用。方法选取符合纳入标准的产妇2 771例,按是否行无痛分娩分为无痛分娩组(681例)和对照组(2 090例),比较两组产程、产痛、分娩方式、出血量、新生儿情况、产妇产后情况。结果所有产妇均成功分娩。无痛分娩组产妇活跃期及第二产程明显短于对照组,差异均有统计学意义(P<0.05),两组产妇第三产程比较差异无统计学意义(P>0.05)。无痛分娩组产痛程度明显轻于对照组,差异有统计学意义(P<0.05)。两组产妇分娩方式比较,差异无统计学意义(P>0.05)。无痛分娩组出现6例新生儿窒息(0.88%),对照组出现22例新生儿窒息(1.05%),两组比较差异无统计学意义(P>0.05)。两组产妇产后出血量及新生儿1min Apgar评分比较,差异无统计学意义(P>0.05)。与对照组产妇比较,无痛分娩组产妇产后会阴损伤发生率更低,产后尿潴留发生率更高,差异均有统计学意义(均P<0.05)。结论无痛分娩能够有效提升产时保健质量,值得推广。
Objective To analyze the development of painless childbirth in Ren Ai Hospital of Xiantao City from 2015 to 2016 and to explore its role in improving quality of childbirth during delivery. Methods A total of 2 771 pregnant women who met the inclusion criteria were divided into painless childbirth group (681 cases) and control group (2 090 cases) according to whether painful childbirth was performed. The duration of labor, labor pain, mode of delivery, blood loss, Neonatal situation, maternal postpartum situation. Results All mothers gave birth successfully. The painless delivery group maternal active period and the second stage of labor was significantly shorter than the control group, the difference was statistically significant (P <0.05), the two groups of maternal third trimester was no significant difference (P> 0.05). Painless childbirth pain relief group was significantly lighter than the control group, the difference was statistically significant (P <0.05). There was no significant difference in the mode of delivery between the two groups (P> 0.05). In the painless childbirth group, 6 newborns asphyxiated (0.88%) and 22 neonates with asphyxia (1.05%) in the control group showed no significant difference (P> 0.05). There was no significant difference between the two groups in postpartum hemorrhage and Apgar scores in neonates at 1 minute (P> 0.05). Compared with the control group, the incidence of perineal injury in the painless childbirth group was lower, and the incidence of postpartum urinary retention was higher, with significant differences (all P <0.05). Conclusion Painless childbirth can effectively improve the quality of childbirth and is worth promoting.