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目的探讨拉玛泽呼吸减痛分娩法在产妇分娩疼痛及妊娠结局中的应用效果。方法选取2015年1月~2016年3月我院的74例住院分娩的初产妇,随机分为研究组和对照组,各37例。对照组接受常规产前健康教育,研究组在对照组基础上学习拉玛泽呼吸减痛分娩法。对两组的分娩方式、分娩疼痛程度、产程进展及产后情况进行综合比较。结果研究组产妇的剖宫产率为37.8%,较对照组的73.0%明显降低(P<0.05);研究组产妇2级、3级疼痛比例较对照组少(P<0.05);研究组新生儿Apgar评分较对照组优(P<0.05);研究组产妇的第1产程、第2产程、总产程及血性恶露持续时间,均较对照组短(P<0.05);研究组产后泌乳量为(1301.43±166.44)ml/d,多于对照组的(934.72±115.55)ml/d(P<0.05)。结论结论对住院分娩的初产妇应用拉玛泽呼吸减痛分娩法效果确切,能有效改善心理状况,减轻分娩疼痛,降低剖宫产率,改善分娩结局,值得临床推广。
Objective To investigate the effect of Ramazha respiratory pain delivery in pain and pregnancy outcome of maternal labor. Methods From January 2015 to March 2016, 74 primipara inpatient delivery in our hospital were randomly divided into study group and control group, with 37 cases in each group. The control group received routine prenatal health education, the study group in the control group based on learning Lamaze respiratory pain delivery method. The mode of delivery, the degree of labor pain, the progress of labor and the postpartum condition of the two groups were compared comprehensively. Results The rate of cesarean section in the study group was 37.8%, which was significantly lower than that in the control group (73.0%, P <0.05). The proportion of pain in the study group was lower than that in the control group (P <0.05) The Apgar score of children in the study group was significantly higher than that in the control group (P <0.05). The duration of the first stage of labor, the second stage of labor, the total stage of labor and the duration of bloody locust in the study group were shorter than those in the control group (P <0.05) (1301.43 ± 166.44) ml / d, more than the control group (934.72 ± 115.55) ml / d (P <0.05). Conclusions The conclusion is that lamaze respiration pain-relieving childbirth is effective in primipara of hospitalized delivery, which can effectively improve the psychological condition, relieve the pain of childbirth, reduce the rate of cesarean section and improve the delivery outcome, which is worthy of clinical promotion.