无创助产技术对阴道分娩母婴结局的影响观察

刘佩璇1 ，张亚凤2

（1.陕西省兴平市人民医院，陕西 兴平，713100；2.咸阳彩虹医院产三科，陕西 咸阳，712000）

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摘要：

目的 研究无创助产技术对阴道分娩者母婴结局的影响。方法 将我院收治的82 例阴道分娩的初产妇随机分为观察组 与对照组，均41 例，分别实施无创助产技术与传统助产。比较两组第二产程时间、住院时间、会阴水肿、撕裂、疼痛发生情况， 比较两组新生儿窒息、入新生儿科发生率。结果 观察组第二产程时间、住院时间显著短于对照组（P<0.05）；观察组会阴水肿、 撕裂、疼痛程度均低于对照组，差异有统计学意义（P<0.05）；两组新生儿窒息、入新生儿科发生率比较，差异无统计学意义（P>0.05）。结论 无创助产用于阴道分娩可加快第二产程、康复进程，降低会阴水肿、撕裂、疼痛风险，且对新生儿无明显影响。

关键词：无创助产；阴道分娩；母婴结局

中图分类号：R717文献标志码：A文章编号：2096-1413(2017)36-0136-02

Effect observation of noninvasive midwifery on maternal and fetal outcomes in vaginal delivery
LIU Pei-xuan 1, ZHANG Ya-feng 2
(1. the People``s Hospital of Xingping, Xingping 713100; 2. the Third Obstetrical Department, Xianyang Rainbow Hospital, Xianyang 712000, China)

ABSTRACT: Objective To study the effect of noninvasive midwifery on maternal and fetal outcomes in vaginal delivery. Methods A total of 82 primiparas with vaginal delivery were randomly divided into observation group (treated with noninvasive midwifery) and control group (treated with traditional midwifery), with 41 cases in each group. The second stage of labor time, hospitalization time, occurance of perineal edema, tearing and pain were compared, and the neonatal asphyxia rate and into the neonatology rate were compared between the two groups. Results The second stage of labor time, hospitalization time in the observation group were significantly shorter than those of the control group (P<0.05). The degree of perineal edema, tearing and pain in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05); there was no significant difference between the two groups in the neonatal asphyxia rate and into the neonatology rate (P>0.05). Conclusion Noninvasive midwifery for vaginal delivery can speed up the second stage of labor and rehabilitation process, reduce the risk of perineal edema, tearing and pain, and has no significant effect on newborns.
KEYWORDS: noninvasive midwifery; vaginal delivery; maternal and child outcomes

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