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目的探讨侧俯卧位在产程进展中的临床意义。方法 46例产妇,随机分为对照组和实验组,各23例。对照组采取仰卧位分娩,实验组采取侧俯卧位分娩,对比两组产妇的产程及新生儿窒息情况。结果所有产妇均顺利分娩,无一例转剖宫产。对照组平均耗时(47.6±5.7)min,实验组第二产程平均耗时(29.4±2.4)min,比较差异具有统计学意义(P<0.05)。实验组新生儿未发生窒息,对照组有2例新生儿在出生后1 min发生轻度窒息,有2例在5 min时出现重度窒息,新生儿窒息率17.39%。两组新生儿窒息率比较差异具有统计学意义(P<0.05)。结论侧俯卧位分娩能够有效缩短产程且不会对新生儿造成影响,值得临床推广应用
Objective To investigate the clinical significance of lateral prone position in labor progress. Methods 46 maternal women were randomly divided into control group and experimental group, with 23 cases in each group. The control group to supine position childbirth, the experimental group to take prone prone childbirth, compared with the two groups of labor and neonatal asphyxia. Results All mothers were successful delivery, no case of cesarean section. The control group took an average of (47.6 ± 5.7) min. The mean length of second stage of labor in the experimental group was (29.4 ± 2.4) min, with statistical significance (P <0.05). Neonatal asphyxia did not occur in the experimental group, mild neonatal asphyxia occurred in 2 neonates at 1 minute after birth in the control group, and severe asphyxia occurred in 5 cases at 2 minutes after birth. Asphyxia rate was 17.39% in neonates. Two groups of neonatal asphyxia rate difference was statistically significant (P <0.05). Conclusion Side prone prone delivery can shorten the labor process and will not affect the newborn, it is worth to clinical application