产妇分娩过程中全程自由体位干预的价值

江真真 叶吓平

[摘要] 目的 該次研究重点分析产妇分娩过程中全程自由体位干预的价值。方法 方便选取2017年1—12月间该院进行分娩的30例产妇为研究组，在分娩的一二产程让产妇选择适合自身的体位，同时选择2017年1—12月间该院进行分娩的30例采取传统分娩方式的产妇作为对照组。对比两组产妇第一产程、第二产程及第三产程时间;两组产妇会阴侧切率及产后出血率;研究组和对照组新生儿窒息情况。结果 研究组产妇第一产程、第二产程及第三产程时间明显短于对照组，两组分别为[（492.52±42.52）min、（31.82±6.38）min、（13.15±2.34）min]、[（586.28±68.72）min、（36.19±8.582）min、（18.19±3.05）min]，差异有统计学意义（t=5.327、5.528、6.345，P<0.05）;研究组产妇会阴侧切率及产后出血率明显低于对照组，两组分别为（0%、0%）、（10%、20%），差异有统计学意义（χ2=5.388、6.024，P<0.05）;研究组和对照组新生儿窒息例数分别为0例、5例，差异有统计学意义（χ2=5.694，P<0.05）。结论 自由体位分娩可缩短产程，降低会阴侧切率及产后出血率，保证给产妇提供更舒适、更适宜生理体位，从而降低新生儿窒息的发生。

[关键词] 自由体位;分娩;第一产程;第二产程;第三产程;新生儿

[中图分类号] R248.3          [文献标识码] A          [文章编号] 1674-0742（2019）10（c）-0160-03

[Abstract] Objective This study focused on the value of free body position intervention during maternal delivery. Methods Thirty maternal women who gave birth in our hospital from January to December 2017 were convenient selected as the study group. During the one or two labors of childbirth， the mothers were selected to suit their position， and from January  to December 2017， 30 women who underwent traditional delivery in our hospital were used as a control group. The first stage of labor， the second stage of labor and the third stage of labor were compared between the two groups; the rate of perineal side-cutting and postpartum hemorrhage in the two groups; the neonatal asphyxia in the study group and the control group. Results The first， second and third stage of labor in the study group were significantly shorter than the control group. The two groups were [（492.52±42.52）min， （31.82±6.38）min， （13.15±2.34）min]， [（586.28±68.72）min， （36.19±8.582） min and （18.19±3.05）min]， the difference was statistically significant （t=5.327， 5.528， 6.345， P<0.05）. The rate of perineal cut and postpartum hemorrhage in the study group was significantly lower than that in the control group （0%， 0%），（10%， 20%）， the difference was statistically significant（χ2=5.388， 6.024， P<0.05）; the number of neonatal asphyxia in the study group and the control group were 0 case and 5 cases， respectively. The difference was statistically significant （χ2=5.694， P<0.05）. Conclusion Free position delivery can shorten the labor process， reduce the rate of perineal cut and postpartum hemorrhage， and ensure more comfortable and more suitable physiological position for the mother， thus reducing the occurrence of neonatal asphyxia.