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目的探讨徒手旋转胎头助产的方法及效果。方法选取2011年1月至2013年1月在潢川县人民医院分娩的孕妇108例,并随机分为观察组与对照组,每组54例。观察组采用徒手旋转胎头助产,对照组采用常规自然分娩,比较两组产妇顺产率、产伤率、产后出血情况及新生儿评分。结果观察组产妇顺产率明显大于对照组,差异有统计学意义(P<0.05);观察组产妇产伤率及产后出血率明显低于对照组,差异有统计学意义(P<0.05);观察组新生儿评分明显优于对照组,差异有统计学意义(P<0.05)。结论徒手旋转胎头助产能够降低剖宫产率,减少产伤及产后出血,保证良好的母婴结局。
Objective To explore the method and effect of hand-free rotation of fetal head midwifery. Methods From January 2011 to January 2013, 108 pregnant women who gave birth in Huangchuan County People’s Hospital were randomly divided into observation group and control group with 54 cases in each group. The observation group was assisted by manual rotation of the fetal head and the control group by conventional spontaneous labor. The maternal obstetric rate, the rate of birth injury, postpartum hemorrhage and neonatal score were compared between the two groups. Results The rate of obstetrics and gynecology was significantly higher in the observation group than in the control group (P <0.05). The rate of maternal injury and the rate of postpartum hemorrhage in the observation group were significantly lower than those in the control group (P <0.05). The neonatal score in the observation group was significantly better than that in the control group, the difference was statistically significant (P <0.05). Conclusion Manual rotation of the fetal head can reduce the rate of cesarean section, reduce birth trauma and postpartum hemorrhage, to ensure a good maternal and infant outcomes.