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目的:对水中镇痛分娩产妇的疼痛情况、产程、出血量、会阴裂伤、产褥感染及新生儿窒息等情况进行分析,以评价水中镇痛的镇痛效果及对母婴的安全性。方法:选择自愿行水中镇痛且符合条件的86例产妇为观察组,宫口开3 cm让产妇入水,宫口开全离开浴池返回产床待产分娩。选择同期、相同条件要求阴道分娩的86例产妇作为对照组。比较分析两组产妇的疼痛情况、产程、出血量、会阴裂伤、产褥感染及新生儿情况等。结果:水中镇痛组产妇入水后疼痛级别较入水前明显降低(P<0.05);与对照组比较,水中镇痛组产妇疼痛级别明显降低(P<0.05);水中镇痛组活跃期时间短于对照组,但比较无统计学差异(P>0.05);两组第二产程时间、分娩方式、出血量、会阴裂伤、分娩后白细胞和血红蛋白、新生儿窒息等比较无统计学差异(P>0.05)。结论:水中镇痛可减轻产妇的分娩疼痛,对母婴安全。
OBJECTIVE: To evaluate the analgesic effect of water analgesia and its safety to maternal and infant by analyzing the pain, labor, blood loss, perineal laceration, puerperal infection and neonatal asphyxia in water. Methods: Eighty-six maternal women were selected as the observation group. The cervix was opened 3 cm to allow the maternal water to enter the water. The cervix was discharged from the bath and returned to the bed for delivery. Select the same period, the same conditions require vaginal delivery of 86 maternal as a control group. A comparative analysis of the two groups of maternal pain, labor, bleeding, perineal laceration, puerperal infection and neonatal conditions. Results: Compared with the control group, the pain level in the water pain group was significantly lower (P <0.05), and the duration of the active period in the water pain control group was shorter (P> 0.05). There was no significant difference in the second stage of labor, mode of delivery, blood loss, perineal laceration, leucocyte and hemoglobin after birth, neonatal asphyxia in the control group (P> 0.05) > 0.05). Conclusion: Analgesic in water can relieve the pain of childbirth and maternal safety.