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目的:探讨自由体位分娩应用对胎头位置异常产妇的有效性。方法:选取2012年10月-2014年12月在南宁市第九人民医院生产的产妇130例,按照体位分娩的不同分为对照组和观察组,每组各65例。对照组产妇在第1产程阶段时采用传统的床上卧位进行待产,在进入第2产程之后采用截石位、屏力分娩,观察组产妇在第1产程的过程中采取行走、蹲、坐、卧等自由体位进行分娩,在第2产程时根据胎位的不同采取不同方向的侧卧位,待新生儿头部拨露后采用截石位、屏力分娩。观察两组产妇总产程需要的时间、产后2 h出血量情况和胎头下降的情况,对比两组产妇剖宫产发生的几率。结果:在总产程需要时间方面,观察组产妇所需要的时间明显小于对照组产妇,差异具有统计学意义(P<0.05);在产后2 h出血量情况方面,观察组产妇出血量明显小于对照组产妇,差异具有统计学意义(P<0.05);在胎头下降的情况方面,观察组产妇下降的幅度高于对照组产妇,差异具有统计学意义(P<0.05);在剖宫产发生几率方面,对照组产妇高于观察组产妇,差异具有统计学意义(P<0.05)。结论:在胎头位置异常产妇生产的过程中,采用自由体位分娩这种分娩方式能够减少产程需要的时间,降低产后出血量情况,并且还能降低产妇剖宫产的几率,对母婴健康具有重要的意义。
Objective: To investigate the effect of free position delivery on abnormal maternal fetal head position. Methods: A total of 130 maternal women were selected from Ninth People’s Hospital of Nanning from October 2012 to December 2014. According to the different births, they were divided into control group and observation group with 65 cases in each group. The control group of maternal stage in the first stage of labor using the traditional supine position to be produced, after entering the second stage of labor using lithotomy position, screen force childbirth, observation group maternal take the first stage of labor in the process of walking, squatting, sitting, Lying and other free position for childbirth, in the second stage of labor according to different fetal position taken in different directions lateral position, to be exposed after the newborn head lithotomy position, screen force childbirth. Observe the two groups of maternal total labor required time, 2 h postpartum hemorrhage and fetal head decline, compared the incidence of cesarean section in two groups of women. Results: In terms of the total time required for labor, the time required for observation group was significantly less than that of control group (P <0.05), and the amount of bleeding in observation group was significantly less than that of control group (P <0.05). In the case of declining fetal head, the rate of maternal decline in the observation group was higher than that in the control group (P <0.05). In the cesarean section In terms of odds, the mothers in the control group were higher than those in the observation group, the difference was statistically significant (P <0.05). Conclusion: In the process of abnormal maternal fetal head production, the use of free birth delivery of this mode of delivery can reduce the labor-required time and reduce the amount of postpartum hemorrhage, but also reduce the risk of cesarean section, maternal and child health has the Significance.