第二产程手膝俯卧位分娩对高龄初产妇分娩控制感及分娩结局的影响

doi:10.3969/j.issn.1671-7171.2020.02.022

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Abstract 【Objective】To investigate the effects of prone position with hands and knees in the second stage of labor on the control of delivery control and outcomes of delivery in elderly primipara.【Methods】A total of 148 elderly primiparas who were admitted in our hospital from July 2016 to December 2017 were enrolled. All primiparas were randomly divided into the observation group and the control group, with 74 cases in each. In the control group, the conventional supine position was performed in the second stage of labor and the treatment group, while the prone position of the hands and knees was placed in the observation group. The maternal Labour Agentry Scale (LAS), the Visual Analogue Scale (VAS), the Visual Analogue Scale-Anxiety (VAS-A) and the delivery outcome were compared between the two groups.【Results】The scores of LAS, VAS and VAS-A in the observation group were significantly lower than those in the control group (t=12.686, 11.322, 15.078, P<0.01). The second stage of labor was significantly shorter in the observation group than that in the control group; and the amount of bleeding was significantly lower than that of the control group at 2 hours postpartum (t=9.496, 8.174, P<0.05, P<0.01). The natural labor and perineal integrity in the observation group were significantly higher than those in the control group (90.54% vs 75.68%, 20.27% vs 8.11%) (χ²=5.824,4.495,P<0.05).【Conclusion】The prone position with hands and knees in the second stage of labor can alleviate the anxiety and pain level, improve the sense of delivery control, and improve the delivery outcome in the elderly primiparas.

Key words： Parturition Posture Parity Pregnancy Outcome

Received: 04 September 2018

PACS:

R714.3

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	CHEN Lan

Cite this article:

CHEN Lan. Effect of Prone Position with Hands and Knees in the Second Stage of Labor on Delivery Control and Outcomes of Delivery in Senile Primipara[J]. JOURNAL OF CLINICAL RESEARCH, 2020, 37(2): 233-235.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2020.02.022 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2020/V37/I2/233

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