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目的:探讨水中分娩方式在临床实践中的应用效果及对分娩过程和结局的影响。方法:选取2014年5月—2014年12月行水中分娩的初产妇165例作为观察组,将同期条件相符的正常传统分娩方式的165例作为对照组,比较两组产妇的产程时间、产后出血量、分娩疼痛程度、会阴损伤及中转剖宫产情况。结果:观察组宫口扩张4cm到宫口开全平均60min左右,对照组平均240min左右,第一产程活跃期时间明显缩短(P<0.01),第二产程时间缩短,出血量减少。产程过程中,观察组入水后疼痛级别降低非常显著,会阴侧切率7.6%、剖宫产率4.8%,对照组会阴侧切率35%、剖宫产率40%,两组差异有统计学意义(P<0.01)。结论:采用水中分娩方式,可缩短产程,有效减轻分娩过程中的疼痛,降低会阴侧切率、提高分娩率而被广大产妇所接受,值得临床推广。
Objective: To explore the application of water delivery in clinical practice and its impact on delivery process and outcome. Methods: A total of 165 primipara from May 2014 to December 2014 were selected as the observation group. 165 cases of normal mode of delivery at the same period were selected as control group. The duration of labor, postpartum hemorrhage Volume, degree of pain in childbirth, perineal injury and cesarean section in transit. Results: In the observation group, the dilatation of the cervix was 4cm and the average length of the cervix was about 60min. In the control group, the average time was about 240min. The active period of the first stage of labor was significantly shortened (P <0.01). The time of the second stage of labor was shortened and the amount of bleeding was reduced. In the course of labor, there was a significant decrease in the pain level in the observation group. The rate of episiotomy in the observation group was 7.6%, the rate of cesarean section was 4.8%, the rate of episiotomy in the control group was 35% and the rate of cesarean section was 40% P <0.01). Conclusion: The method of water delivery can shorten the labor process, effectively reduce the pain during delivery, reduce the rate of perineal incision, improve the delivery rate and are accepted by the majority of maternal, it is worth clinical promotion.