|
|
|
| Clinical Value of Controlling Delivery Speed of Fetal Head in Normal Labor to Reduce Perineal Laceration |
| WANG Dan, WANG Xue-li, WU Ying |
| Xianyang Nuclear Industry 215 Hospital, Xianyang Shaanxi 610402 |
|
|
|
|
Abstract 【Objective】To explore the clinical value of fetal head delivery speed control during natural childbirth parturient in reducing maternal perineal laceration. 【Methods】A total of 400 pregnant women who underwent natural delivery in the obstetrics from February 2016 to February 2017 were enrolled in the observation group and the control group, with 200 patients in each group. Patients in the observation group received the control of fetal head delivery speed rate for the delivery assistance, while patients in the control group had the routine birth canal to assist the delivery. Indicators such as postpartum perineal laceration, the second stage of labor, postpartum hemorrhage, labor pain and childbirth control were compared between the two groups. 【Results】The perineal cut rate was 43.50% in the observation group, which was significantly lower than 63.00% in the control group (P<0.05). The perineal laceration rate in the observation group was 21.50%, which was significantly lower than that in the control group (34.50%) (P<0.05). The score of perineal laceration in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). The postpartum hemorrhage, labor pain and delivery control score in the observation group were significantly lower than those in the control group (P<0.05). The second stage of labor in the observation group was longer than the control group (P<0.05). There was no significant difference in Apgar scores between the two groups after 1 min and 5 min postpartum (P>0.05).【Conclusion】Natural childbirth parturient with control of fetal head delivery speed can reduce maternal perineal laceration and labor pain. It has positive effect on the sense of delivery control.
|
|
Received: 15 June 2018
|
|
|
|
|
|
[1] 胡静, 肖红, 邹颖,等. 无保护会阴分娩技术用于初产妇会阴分娩效果的Meta分析[J].中华护理杂志, 2016, 51(4):413-419.
[2] 孙梅玲, 贺梦雅, 马玉燕. 无医疗干预初产妇自然分娩的妊娠结局分析[J].现代妇产科进展, 2016, 25(8):600-602.
[3] 徐玲娣, 冯薇. 无保护接生与传统接生的临床对照研究[J].中国妇产科临床杂志, 2016, 17(1):66-67.
[4] 马丽, 吴艳, 侯燕. 自由体位对阴道分娩的影响[J].医学临床研究, 2016,33(3):569-570.
[5] 陈振皓, 张举, 张振,等. 会阴侧切分娩产妇感染的危险因素分析及干预措施[J].中华医院感染学杂志, 2016, 26(19):4509-4511.
[6] 中华医学会妇产科学分会产科学组. 阴道手术助产指南(2016)[J].中华妇产科杂志, 2016, 51(8):565-567.
[7] 马可心, 张为远. 紧急剖宫产术的决定手术至胎儿娩出时间[J].中华妇产科杂志, 2017, 52(2):134-137.
[8] 刘璇芝, 姚怀齐, 郑宝群,等. 灰阶B超与彩色多普勒超声产前诊断胎儿脐带绕颈的准确性及其与围生儿预后的关系[J].广东医学, 2015, 36(15):2403-2406.
[9] 康楚云, 高燕秋, 宋莉,等. 生育政策调整对助产医院分娩量及产妇构成的影响[J].人口研究, 2015, 39(6):85-93.
[10] 邓娅莉, 丁依玲. 产时胎儿手术的适应证及禁忌证[J].实用妇产科杂志, 2016, 32(6):413-415. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(12): 2375-2376. |
|
|
|
|
2019, Vol. 36 
