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目的:探讨潜伏期分娩镇痛对高危妊娠孕妇泌乳和妊娠结局的影响。方法:选取2010年2月~2013年2月该院妇产科收治的高危妊娠孕妇96例,采用随机抽样的方法将孕妇分为对照组和观察组,每组各48例。对照组孕妇在潜伏期(进入产程,宫颈口直径<3 cm)时行硬膜外镇痛,观察组孕妇在活跃期(宫颈口直径≥3 cm)行硬膜外镇痛,比较两组孕妇的泌乳和妊娠结局情况。结果:观察组孕妇24 h血清泌乳素(PRL)水平显著高于对照组,差异有统计学意义(P<0.05);两组分娩方式比较,差异无统计学意义(P>0.05)。结论:高危妊娠孕妇潜伏期行分娩镇痛,可以有效促进孕妇泌乳素的分泌,有利于母乳喂养,且不影响孕妇的分娩方式,值得临床推广。
Objective: To investigate the effects of labor-induced labor on lactation and pregnancy outcome in high-risk pregnant women. Methods: From February 2010 to February 2013, 96 pregnant women of high risk were enrolled in the obstetrics and gynecology department of our hospital. Pregnant women were divided into control group and observation group by random sampling, 48 cases in each group. The control group of pregnant women in the incubation period (into the labor process, cervical orifice diameter <3 cm) epidural analgesia, the observation group of pregnant women in the active phase (cervical orifice diameter ≥ 3 cm) epidural analgesia, the two groups of pregnant women Lactation and pregnancy outcomes. Results: The levels of serum prolactin (PRL) in the observation group at 24 h were significantly higher than those in the control group (P <0.05). There was no significant difference in the delivery modes between the two groups (P> 0.05). Conclusion: Pregnant women at high risk may have analgesia during labor in latent period, which can effectively promote the secretion of prolactin in pregnant women and promote breastfeeding without affecting the delivery mode of pregnant women, which is worthy of clinical promotion.