论文部分内容阅读
目的:探讨拉玛泽训练配合体位助产对自然分娩产妇产程进展与分娩结局的影响。方法:选择2012年5月至2013年5月我院收治的174例妊娠孕妇作为对照组,采用常规助产方法进行助产护理;另选择2013年6月至2014年12月我院收治的172例妊娠孕妇作为观察组,在常规护理的基础上采用拉玛泽训练配合体位助产。所有产妇均为单胎、足月、头位待产产妇。观察并记录产程时间以及分娩过程的疼痛情况及产妇分娩方式。结果:观察组产妇9~10分疼痛产妇明显少于对照组(P<0.05),产妇阴道分娩率明显高于对照组(χ2=47.46,P<0.05),总产程、第一产程(加速期)、第二产程明显短于对照组(t值分别为2.70、4.52、6.34,均P<0.05)。两组产妇第一产程(潜伏期、减速期)差异无统计学意义(t值分别为0.55、2.06,均P>0.05)。结论:拉玛泽训练配合体位助产能有效缩短产妇产程,减轻产妇术中疼痛,提高自然分娩率,值得临床推广。
Objective: To investigate the effects of Lamaze training combined with body mass assisted labor on delivery progress and delivery outcome in spontaneous labor. Methods: A total of 174 pregnant women admitted to our hospital from May 2012 to May 2013 were selected as the control group, and the midwifery was performed by the conventional midwifery method. Another 172 patients admitted to our hospital from June 2013 to December 2014 Cases of pregnant women as the observation group, on the basis of routine care using Lamaze training with position midwifery. All mothers are single-born, full-term, head to be mothers. Observe and record the labor process as well as the pain during childbirth and maternal delivery. Results: In the observation group, 9-10 maternal pains were significantly less than those in the control group (P <0.05). The vaginal delivery rate in the observation group was significantly higher than that in the control group (χ2 = 47.46, P <0.05) ), The second stage of labor was significantly shorter than the control group (t = 2.70,4.52,6.34, respectively, P <0.05). There was no significant difference in the first stage of labor between the two groups (t = 0.55 and 2.06, respectively, P> 0.05). Conclusion: Lamaze training combined with midwifery can effectively shorten the duration of maternal labor, reduce maternal intraoperative pain and improve the rate of natural delivery, which deserves clinical promotion.