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目的探讨在陪伴分娩过程中采用快乐分娩-产科服务新模式对分娩结局的影响。方法选取2016年6月~2017年5月来我公司协作医院分娩的产妇600例作为研究察对象,将其分为A组(观察组)和B组(对照组),各300例,A组实施快乐分娩待产与分娩;B组采用无痛分娩(椎管内麻醉)或剖宫产待产与分娩。比较两组产妇的生产时长、胎方位异常、疼痛感、宫颈水肿、催产素使用、产后两小时产妇出血发生率、新生儿窒息发生率等。结果胎方位异常情况、疼痛感情况A组产妇明显低于B组,差异有统计学意义(P<0.01);两组分娩产妇在潜伏期(t=14.387,P<0.01)、活跃期(t=8.324,P<0.05)、第二产程(t=5.127,P<0.05)、催产素(t=10.861,P<0.05)的差异均有统计学意义;产妇宫颈水肿发生率、产妇产后两小时出血率、新生儿窒息发生率,A组与B组比较,差异有统计学意义(x~2=9.316,P<0.05)。结论快乐分娩较无痛分娩(椎管内麻醉)或剖宫分娩更能缩短生产时长,减轻产妇痛苦,减少产后出血率和新生儿窒息,有利母婴健康。
Objective To explore the effect of happy delivery - a new mode of obstetric service during childbirth on delivery outcomes. Methods Six hundred and sixty-six maternal mothers who delivered to our hospital from June 2016 to May 2017 were selected as research objects and divided into group A (observation group) and group B (control group), 300 cases in each group, group A Happy childbirth delivery and childbirth; Group B painless childbirth (spinal anesthesia) or cesarean section for delivery and childbirth. The duration of maternal production, abnormal fetal position, pain, cervical edema, oxytocin use, the incidence of maternal hemorrhage two hours after delivery and the incidence of neonatal asphyxia were compared between the two groups. Results The abnormal fetus position and pain condition in group A were significantly lower than that in group B (P <0.01). The two groups had no significant difference in latency (t = 14.387, P <0.01), active stage (t = 8.324, P <0.05). There was significant difference in the second stage of labor (t = 5.127, P <0.05) and oxytocin (t = 10.861, P <0.05). The incidence of cervical edema, Rate of neonatal asphyxia, A group and B group, the difference was statistically significant (x ~ 2 = 9.316, P <0.05). Conclusion Happy delivery is more painless childbirth (spinal anesthesia) or cesarean delivery can shorten the production time, reduce maternal pain, reduce postpartum hemorrhage and neonatal asphyxia, favorable maternal and child health.