拉玛泽分娩法联合改良会阴无保护接生对分娩质量影响.docVIP

拉玛泽分娩法联合改良会阴无保护接生对分娩质量影响 　　[摘要]目的 探讨拉玛泽分娩法联合改良会阴无保护接生对分娩质量的效果评价。方法 选取2015年1～10月在本院分娩的300例经阴道试产分娩孕产妇作为研究对象，随机分为观察组（160例）和对照组（140例）。观察组采用拉玛泽分娩法联合改良会阴无保护接生，对照组采用自主呼吸加传统接产法。比较两组的产时疼痛、产妇转剖宫产、产后出血、会阴及软产道损伤发生率。结果 观察组的中度疼痛发生率显著高于对照组，重度疼痛及剧痛发生率显著低于对照组，差异有统计学意义（P0.01）。观察组的产后出血发生率、产时转剖宫产率、会阴切开率显著低于对照组，会阴无裂伤或者Ⅰ度裂伤发生率显著高于对照组，会阴Ⅱ度裂伤发生率显著低于低于对照组，差异有统计学意义（P0.05）。结论 拉玛泽分娩法联合改良会阴无保护接生可以减轻分娩疼痛，减少产后出血，有效降低会阴切开率及剖宫产率，能够促进自然分娩，有利于产房护理质量管理。 　　[关键词]拉玛泽分娩法；改良无保护接生；产痛；产后出血；会阴切开 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2016）06（b）-0171-03 　　Influence of Lamaze childbirth combined with improved unprotected perineum delivery on puerperal quality 　　QIN Lian-zhi 　　Department of Obstetrics，Yishui Central Hospital of Linyi City in Shangdong Province，Linyi 276400，China 　　[Abstract]Objective To explore the influence of Lamaze childbirth combined with improved unprotected perineum delivery on puerperal quality.Methods 300 puerperae by vaginal trial childbirth in our hospital from January 2015 to October 2015 were selected and randomly divided into the control group （140 cases） and the observation group （160 cases）.The observation group was given Lamaze childbirth combined with improved unprotected delivered，the control group was given spontaneous breathing plus and traditional delivery method.The incidence rate of labor pain，intrapartum maternal transfer cesarean section，postpartum hemorrhage，perineum and soft birth canal injury in the two groups was compared.Results The incidence rate of moderate pain in the observation group was higher than that in the control group，the incidence rate of severe pain and extreme pain in the observation group was lower than that in the control group，with significant difference （P 　　[Key words]Lamaze childbirth；Improved unprotected delivered；Labor pain；Postpartum hemorrhage；The perineum incision 　　阴道产伤的发生率是评价产科质量的重要指标之一[1]。随着人们生活水平的提高和保健意识的增强，产妇及其家属对产科质量的要求越来越高。在目前剖宫产率居高不下的背景下，采取有效措施预防会阴产伤，为孕产妇提供安全的助产服务，让其以痛苦最轻、影响最小的方式经阴道自然分娩，具有重要的临床意义和社会价值[2]。如何减轻分娩时的痛苦和产