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目的:探讨影响水中分娩成功的相关因素。方法:将自愿选择水中分娩方式且单胎足月头位的产妇100例分为两组,水中分娩成功的50例产妇设为观察组,水中分娩不成功中转阴道分娩或剖宫产结束分娩的50例产妇设为对照组,比较两组产妇年龄、分娩前体质指数(BMI)、分娩时血压、新生儿体重、脐带绕颈及分娩并发症情况。结果:观察组年龄、分娩前BMI、分娩时血压、新生儿体重、脐带绕颈及分娩并发症发生率均低于对照组(P<0.05)。结论:选择水中分娩方式应严格掌握适应证,对年龄偏大、肥胖、血压偏高、胎儿过大、脐带绕颈及伴有分娩并发症的产妇应慎重选择水中分娩,确保母婴安全。
Objective: To explore the factors that affect the success of childbirth in water. Methods: 100 maternal women who choose water delivery mode and single full-term head position were randomly divided into two groups. 50 males who succeeded in water delivery were selected as observation group. Water delivery was unsuccessful and vaginal delivery or cesarean delivery was terminated. Fifty mothers were enrolled as control group. The maternal age, BMI, blood pressure at birth, newborn weight, cord around the neck and complications of delivery were compared between the two groups. Results: The age of the observation group, BMI before delivery, blood pressure at birth, weight of newborn, cord around the neck and delivery complications were lower than those of the control group (P <0.05). Conclusion: Selection of water delivery methods should be strictly indications, on the older, obesity, high blood pressure, the fetus is too large, around the neck and complications associated with childbirth should be selective delivery of water to ensure the safety of mother and child.