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目的:探讨无创接生联合全程陪伴在足月初产妇分娩中的应用价值。方法:选取2015年2月-2017年2月于李惠利东部医院产科分娩足月单胎初产妇共100例,随机分为对照组(50例)和观察组(50例),分别给予常规护理干预和在此基础上给予无创接生联合全程陪伴干预;比较两组产妇剖宫产率,会阴切开和水肿率,会阴裂伤和疼痛程度,第二产程时间,产后出血量及新生儿窒息率等。结果:对照组产妇剖宫产率、会阴切开率及会阴水肿率分别为48.00%,58.00%和24.00%;观察组产妇剖宫产率、会阴切开率及会阴水肿率分别为22.00%,18.00%,6.00%;观察组产妇剖宫产率、会阴切开率及会阴水肿率均显著低于对照组(P<0.05);对照组产妇中会阴裂伤I度和II度例数分别为14例、7例,会阴疼痛0级、I级、II级及III级例数分别为7例、32例、9例、2例;观察组产妇中会阴裂伤I度和II度例数分别为29例和1例,会阴疼痛0级、I级、II级及III级例数分别为18例、30例、2例、0例;观察组产妇会阴裂伤和疼痛程度均显著优于对照组(P<0.05);对照组产妇第二产程时间、产后出血量和新生儿窒息率分别为(51.75±16.08)min、(248.61±80.15)ml、4.00%;观察组产妇第二产程时间、产后出血量和新生儿窒息率分别为(53.10±16.53)min、(152.04±65.83)ml、2.00%;两组产妇第二产程时间和新生儿窒息率比较差异无显著性(P>0.05);观察组产妇产后出血量显著少于对照组(P<0.05)。结论:无创接生联合全程陪伴用于足月初产妇分娩可有效避免中转剖宫产,降低会阴切开风险,减轻会阴水肿、裂伤及疼痛程度,并有助于减少产后出血。
Objective: To explore the value of noninvasive delivery combined with full companion in full-term maternal delivery. Methods: From February 2015 to February 2017, 100 cases of full-term single-term primiparous obstetric labor were randomly divided into control group (50 cases) and observation group (50 cases), and were given routine nursing Intervention and on the basis of non-invasive delivery joint accompanied by the entire process; comparison of the two groups of cesarean section rate of maternal, perineal incision and edema rate, perineal laceration and pain, the second stage of labor, postpartum hemorrhage and neonatal asphyxia Wait. Results: The cesarean section rate, perineal incision rate and perineal edema rate in the control group were 48.00%, 58.00% and 24.00% respectively. The cesarean section rate, perineal incision rate and perineal edema rate in the observation group were 22.00% 18.00% and 6.00%. The cesarean section rate, episiotomy rate and episcleral edema in observation group were significantly lower than those in control group (P <0.05). The number of I and II cases of perineal laceration in control group were 14 cases, 7 cases, 0 cases of perineal pain, class I, class II and class III cases were 7 cases, 32 cases, 9 cases, 2 cases; observation group maternal episiotomy I and II degree cases were 29 cases and 1 case, 0 cases of perineal pain, 18 cases of I, II and III cases, 30 cases, 2 cases, 0 cases; the observation group maternal episiotomy and pain severity were significantly better than the control (51.75 ± 16.08) min, (248.61 ± 80.15) ml and 4.00% respectively in the control group; the second part of labor time, The amount of postpartum hemorrhage and neonatal asphyxia were (53.10 ± 16.53) min and (152.04 ± 65.83) ml and 2.00% respectively. There was no significant difference between the two groups in the second stage of labor and neonatal asphyxia P> 0.05); the observation group maternal postpartum hemorrhage was significantly less than the control group (P <0.05). CONCLUSION: Non-invasive delivery combined with full companion for full-term maternal delivery can effectively avoid cesarean section, reduce the risk of perineal incision, reduce perineal edema, laceration and pain, and help to reduce postpartum hemorrhage.