拉玛泽生产呼吸法对分娩实施的影响及可行性研究.docVIP

精品论文 参考文献 拉玛泽生产呼吸法对分娩实施的影响及可行性研究 孙桂玲 　　（莱西市妇幼保健院 山东 莱西 266600） 　　【摘要】 目的：研究Lamaza分娩法训练的临床效果。探讨此方法对缩短产程、降低剖宫产率的作用。方法：选择260例自愿参加Lamaza分娩法训练的孕妇为观察组，260不参加Lamaza分娩法训练的为对照组。比较两组产妇各产程的平均时间、剖宫产率、新生儿窒息率、产后出血率。结果：两组第一产程、总产程的平均时间和剖宫产率比较，有明显差异；而新生儿窒息、产后出血比较无差异。结论：Lamaza 分娩法能有效缩短总产程，降低社会心理因素剖宫产，促进自然分娩，保障母婴健康。 　　【关键词】 Lamaza （拉玛泽）；产程；剖宫产 　　【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2015）26-0146-02 　　Lamaza production breathing method, the effect of the implementation of labor and feasibility studies. 　　Sun guiling . 　　The Maternal and child health care of Lai Xi Shandong 266600,China. 　　【Abstract】Objective To observe the effect of Lamaza method of childbirth and explore the efficiency of short the labor process and reduce the rate of abdominal delivery. Method 260 pregnant volunteer received the training of Lamaza method of childbirth were choose to the study group, other 260 pregnant women who had not received the training were choose to the control group,compare the average hours of each labour process and the total labor process . The rate of abdominal delivery and the ratio of asphyxia neonatorum、pueral hemorrhage in two groups. Results There are very significant difference in the average hours of the first and the total labor process and the rate of abdominal delivery between two groups (Plt;0.05) , but there was no difference in puerperal hemorrhage and asphyxia neonatorum between two groups.Conclusion Lamaza method of childbirth can short the total labor process, reduce abdominal delivery for social and psychological facts, promoting natural delivery , keep the health of the mother and the newborn baby. 　　【Key words】Lamaza ；Labor process ; Abdominal delivery 　　目前，在我国剖宫产人数有逐年上升的趋势，有调查报道剖宫产率可高达50%左右，剖宫产的原因除了医学指征外，其中社会心理因素前居首位，并且成为剖宫产率直接上升的原因。因此研究Lamaza(拉玛泽)呼吸法寻求降低剖宫产率的措施，促进自然分娩。我院于2010年12月于孕妇学校开设拉玛泽分娩法训练课程，孕妇自愿报名参加，从孕7个月开始。因丈夫共同参与有一定局限性，因此我们统一让孕妇独立参加ia拉玛泽分娩法授课和培训，收到了良好的效果。 　　1.资历和方法 　　1.1对象 　　选择第一胎孕7个月，年龄20～33岁，头位，估计可经阴道分娩者。排除高危妊娠，而且无内科