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目的探讨自由体位对活跃期初产妇分娩结局的影响。方法选取医院218例行阴道分娩的初产妇,将其随机分为对照组与研究组各109例,其中对照组采取常规体位进行分娩,研究组采取自由体位进行分娩,观察2组活跃期胎先露下降速度、各产程时间、最终分娩方式、新生儿Apgar评分、新生儿体质量、产后24h出血量以及并发症。结果研究组胎先露下降速度明显优于对照组(P<0.05),产程时间明显缩短优于对照组(P<0.05)。研究组最终分娩方式阴道分娩率明显高于对照组(P<0.05),阴道助产以及剖宫产率也明显低于对照组(P<0.05)。2组新生儿Apgar评分、新生儿体质量对比,无明显统计学差异(P>0.05)。研究组产后24h出血量明显低于对照组(P<0.05),研究组并发症明显低于对照组(P<0.05)。结论活跃期初产妇采取自由体位可明显提高阴道分娩率,更有助于胎先露下降,从而缩短产程,降低并发症。
Objective To investigate the effect of free position on the delivery outcome of primipara in active stage. Methods A total of 218 primiparae of vagina delivered in the hospital were randomly divided into control group and study group (n = 109). The control group received normal position for delivery and the study group took free position for delivery. The two groups of active stage Dew drop rate, duration of labor, final delivery mode, neonatal Apgar score, neonatal body mass, amount of postpartum hemorrhage, and complications. Results The descend speed of the study group was significantly better than that of the control group (P <0.05), and the labor time was significantly shorter than that of the control group (P <0.05). The rate of vaginal delivery in the study group was significantly higher than that in the control group (P <0.05), vaginal delivery and cesarean section rate were also significantly lower than those in the control group (P <0.05). There was no significant difference in Apgar score and neonatal body weight between two groups (P> 0.05). The amount of bleeding in study group was significantly lower than that in control group (P <0.05). The complication rate in study group was significantly lower than that in control group (P <0.05). Conclusions The active position of primipara at the beginning of active period can significantly improve vaginal delivery rate, but also help to reduce fetal exposure, thus shortening labor and reducing complications.