Abstract:【Objective】To explore the effect of labor process input management in painless delivery on maternal coagulation function and pregnancy outcome.【Methods】 From May 2018 to may 2020,a total of 140 parturients who delivered in our hospital were selected as the research objects and randomly divided into observation group and control group, with 70 cases in each group. The control group received routine epidural anesthesia and diet according to the wishes of the puerpera, while the observation group received input management on the basis of the control group. The time of the first stage of labor, the second stage of labor, the third stage of labor, the amount of bleeding during labor, the interval of uterine contraction, the duration of uterine contraction, fetal heart rate and the incidence of adverse pregnancy outcomes and sensory score before and after delivery (LAS, VAS, VAS-A), coagulation function index (D-D, TT, FIB) were compared between the two groups.【Results】The second stage of labor time, the third stage of labor time, intrapartum blood loss, uterine contraction interval time in the observation group were significantly less than those in the control group, the fetal heart rate was significantly higher than that in the control group, the differences were statistically significant (P<0.05). The VAS-A score of the observation group after delivery was significantly lower than that before delivery and after delivery of the control group, the difference was statistically significant (P<0.05). FIB in the observation group after delivery was significantly lower than that before delivery, and higher than that in the control group, the difference was statistically significant (P<0.05). The total incidence of adverse pregnancy outcomes in the observation group was 12.86% (9/70), which was significantly lower than 24.29% (17/70) in the control group (χ2=4.464,P=0.035).【Conclusion】The application of labor process input management in painless delivery can significantly shorten the time of labor process, improve coagulation function index, and reduce the incidence of adverse pregnancy, which is worthy of clinical application.
杨静, 杨丽. 产程入量管理应用于无痛分娩中对产妇凝血功能及妊娠结局的影响[J]. 医学临床研究, 2021, 38(6): 866-869.
YANG Jing, YANG Li. Effect of Labor Process Input Management in Painless Delivery on Maternal Coagulation Function and Pregnancy Outcome. JOURNAL OF CLINICAL RESEARCH, 2021, 38(6): 866-869.
[1] PARK S, CHOI N K.The relationships between timing of first childbirth, parity, and health-related quality of life[J].Qual Life Res,2018, 27(4):937-943.
[2] 徐军美,高建新.椎管内阻滞分娩镇痛的研究现状[J].医学临床研究, 2020, 37(1):1-3.
[3] KAWABATA T, KAGAWA Y, KIMURA F,et al.Polyunsaturated fatty acid levels in maternal erythrocytes of Japanese women during pregnancy and after childbirth[J].Nutrients,2017, 9(3):245.
[4] 中华医学会妇产科学分会产科学组, 中华医学会围产医学分会.对"新产程标准及处理的专家共识(2014)"的理解和说明[J].中华围产医学杂志,2018, 21 (2):81-83.
[5] 侯静静, 付子毅, 孙志岭.自由体位结合自主屏气用力对初产妇自我效能,分娩控制感的影响[J].中国妇产科临床杂志, 2019, 20(1):76-77.
[6] HASHIM S, CHIN L Y, KRISHNASAMY S, et al.Effect of sternal closure with biological bone adhesive on pain visual analogue score and serum cytokine[J].J Cardiothorac Surg,2015, 10(1):32.
[7] TAYLOR J H, LANDEROS-WEISENBERGER A, COUGHLIN C, et al.Ketamine for social anxiety disorder:a randomized, placebo-controlled crossover trial[J].Neuropsychopharmacology,2018, 43(2):325-333.
[8] 陈小芳, 孙晓琴, 陈志芳,等.无痛分娩中入量管理途径的研究[J].护理学杂志 2020, 35(14):25-28.
[9] 陶洁静, 叶琳, 朱秀梅, 等.分娩过程中正常产妇入量管理的研究[J].中国妇幼健康研究, 2019, 30(8):976-979.
[10] 侯贺, 高霞, 翟玉莹, 等.产程中个性化的饮食指导对母婴结局的影响[J].广西医学, 2019, 41(3):400-402.
[11] 骆香萍, 林彩霞, 华赟.活跃期入量及能量管理对初产妇分娩结局及新生儿代谢状态的影响[J].中国妇幼保健, 2020, 35(4):614-616.
[12] 马彦彦, 庞汝彦.正常产程中的入量管理[J].中华妇产科杂志, 2015, 24(4):316-317.