摘要
目的探讨自由体位对促进自然分娩的影响。方法选取我院2013年9月-2014年12月收治的1000例初产妇为观察对象,按照入院次序将其分成观察组和对照组,其中观察组500例产妇从临产开始至第二产程,助产士根据产程需要、胎方位、产妇喜好及舒适度选用自由体位待产及分娩,并给予体位要点及注意事项等专业体位指导;对照组500例产妇采用的是以卧位为主待产,半卧位分娩,并比较两组在产程时间、窒息发生率、分娩结局及枕横位分娩方式。结果观察组产妇比对照组产程时间缩短（P〈0.05）;因持续性枕横位后位原因,观察组剖宫产的产妇明显减少（P〈0.01）;观察组产妇自然分娩率高于对照组（P〈0.01）。结论自由体位分娩可以加速宫口扩张和先露下降,缩短产程,有效纠正枕横位、枕后位,减少剖宫产率,促进自然分娩。
Objective To evaluate the effect of free position on the duration and outcomes of natural childbirth. Methods One thousand primipara were divided into two groups according to the admission order. Free position and semi-reclining position was used during natural childbirth in the experimental group and the control group,respectively. The outcomes were evaluated using the duration of labor,the incidence of fetal asphyxia,the total proportion of natural delivery and the proportion of natural delivery in cases with occipitotransverse position. Results Compared with the control group,the duration of labor was shorter （P〈0.05）,the incidence of fetal asphyxia was low er（P〈0.0l） ,the total proportion of natural delivery and the proportion of natural delivery in cases with occipitotransverse position was higher（P〈0.01） in the experimental group. Conclusion Free position can accelerate the dilation of cervix and fetal presentation,shorten the duration of labor,correct the occipitotransverse position and thereby promote natural delivery and reduce the cesarean section rate.
出处
《中华护理教育》
2015年第4期293-295,共3页
Chinese Journal of Nursing Education
关键词
自由体位
自然分娩
剖宫产
Free position
Natural Childbirth
Cesarean Delivery
