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目的:探讨不同分娩体位对母婴带来的影响,如对残余羊水量、分娩方式及相关并发症的影响。方法:选取舟山市妇幼保健院足月胎膜早破孕产妇98人,随机分为实验组和对照组。即第一产程实验组采用自由体位,对照组采用传统体位。比较两组孕产妇临产时残余羊水量、分娩方式、产程时间、产后出血量以及宫内感染、胎儿窘迫等并发症发生率的差异。结果:实验组临产时残余羊水指数(AFI)平均为(11.2±3.9)cm,显著高于对照组(9.1±4.3)cm,差异有统计学意义(t=10.276,P<0.05)。实验组阴道分娩率65.3%,明显高于对照组38.8%,差异有统计学意义(χ2=4.083,P<0.05)。实验组产后出血量(231.8±21.4)ml,明显低于对照组的(299.7±39.6)ml,差异有统计学意义(t=12.615,P<0.01)。实验组第一、二产程时间,产程中宫内感染,胎儿窘迫等发生率均低于对照组,差异有统计学意义(P<0.05)。结论:自由体位较传统体位减轻了产妇分娩的痛苦,降低新生儿窒息率,提高分娩质量,在临床上应加以推广使用。
Objective: To investigate the impact of different birth positions on maternal and infant, such as the residual amniotic fluid volume, delivery mode and related complications. Methods: 98 pregnant women with full-term premature rupture of membranes of Zhoushan Maternal and Child Health Hospital were selected and randomly divided into experimental group and control group. That the first stage of labor experimental group using free position, the control group using the traditional position. The differences of residual amniotic fluid volume, mode of delivery, delivery time, postpartum hemorrhage, complications of intrauterine infection and fetal distress were compared between the two groups. Results: The residual amniotic fluid index (AFI) in the experimental group was (11.2 ± 3.9) cm on average, which was significantly higher than that of the control group (9.1 ± 4.3) cm. The difference was statistically significant (t = 10.276, P <0.05). The rate of vaginal delivery in the experimental group was 65.3%, which was significantly higher than that in the control group (χ2 = 4.083, P <0.05). The amount of postpartum hemorrhage (231.8 ± 21.4) ml in the experimental group was significantly lower than that in the control group (299.7 ± 39.6) ml, the difference was statistically significant (t = 12.615, P <0.01). The incidence of first and second stage of labor, intrauterine infection and fetal distress in the experimental group was lower than that of the control group (P <0.05). Conclusion: Compared with the traditional position, the free position relieves the pain of childbirth, reduces the neonatal asphyxia rate and improves the quality of childbirth, which should be promoted and used clinically.