前倾位体位训练对孕晚期低危初产妇的影响观察
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摘要
目的探究前倾位体位训练应用于孕晚期低危初产妇对分娩结局、产程时间及临产时胎方位的影响。方法便利抽样选取无锡市妇幼保健院2015年11月至2016年11月收治的行常规护理的孕晚期低危初产妇76例作为对照组,同法选取2016年12月至2017年12月收治的行前倾位体位训练的孕晚期低危初产妇76例作为观察组。对比两组初产妇分娩结局、产程时间及临产时胎方位。结果观察组分娩方式优于对照组,差异有统计学意义(P<0.05);观察组出血量及新生儿Apgar评分与对照组相比,无明显差异(P>0.05);观察组第一产程、第二产程及总产程时间均短于对照组,差异有统计学意义(均P<0.05),第三产程时间与对照组相比无统计学差异(P>0.05);观察组枕前位多于对照组,枕后位少于对照组,差异有统计学意义(均P<0.05),枕横位及其他胎方位与对照组相比无统计学差异(均P>0.05)。结论前倾位体位训练应用于孕晚期低危初产妇,可有效改善分娩结局及临产胎方位,且缩短产程时间,值得推广应用。
Objective To explore the effect of forward tilting position training on the delivery,the duration of labor and the orientation of fetus during parturition.Methods By convenience sampling method,seventy-six cases of low-risk primipara who were admitted to the hospital from November 2015 to November 2016 were selected as the control group.Seventy-six low-risk primipara from December 2016 to December 2017 were selected as the observation group,and received the forward tilting position training.The outcomes,labor time,and orientation of the fetus at birth were compared between two groups.ResultsThe delivery in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in bleeding volume and neonatal Apgar score between the observation group and the control group(P>0.05).The duration of the first stage of labor,the second stage of labor and total stage of labor in the observation group were shorter than those of the control group(P<0.05).There was no significant difference in the third stage of labor between the observation group and the control group(P>0.05).The observation group had more anterior occipital position than that of the control group.In the observation group,the posterior occipital position was less than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the occipital transverse position and other positions between two groups(P >0.05).Conclusions The application of forward tilting position training on low-risk primipara in the third trimester can effectively improve the outcome of delivery and the position of the fetus,which can shorten the birth time,and is worthy of popularization and application.
Objective To explore the effect of forward tilting position training on the delivery,the duration of labor and the orientation of fetus during parturition.Methods By convenience sampling method,seventy-six cases of low-risk primipara who were admitted to the hospital from November 2015 to November 2016 were selected as the control group.Seventy-six low-risk primipara from December 2016 to December 2017 were selected as the observation group,and received the forward tilting position training.The outcomes,labor time,and orientation of the fetus at birth were compared between two groups.ResultsThe delivery in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in bleeding volume and neonatal Apgar score between the observation group and the control group(P>0.05).The duration of the first stage of labor,the second stage of labor and total stage of labor in the observation group were shorter than those of the control group(P<0.05).There was no significant difference in the third stage of labor between the observation group and the control group(P>0.05).The observation group had more anterior occipital position than that of the control group.In the observation group,the posterior occipital position was less than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the occipital transverse position and other positions between two groups(P >0.05).Conclusions The application of forward tilting position training on low-risk primipara in the third trimester can effectively improve the outcome of delivery and the position of the fetus,which can shorten the birth time,and is worthy of popularization and application.
引文
[1]李林红,季华,陈婕妤.胎头吸引器对初产妇阴道分娩软产道损伤及新生儿损伤的影响[J].中国妇幼保健,2018,33(3):697-700.
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[7]胡晓娜,林素青,余丽珍.活跃晚期和第二产程初期支撑式前倾坐位对产妇分娩结局的影响[J].护理学杂志,2016,31(18):49-51.
[8]张喜梅,吴娜,厉跃红,等.自由体位分娩对初产妇分娩自控感与分娩结局的影响[J].上海护理,2017,17(5):59-61.
[9]欧阳娜,瞿佳,刘可,等.我国助产士门诊对初产妇分娩方式及分娩结局影响的Meta分析[J].护理学报,2017,24(2):4-10.
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[11]闵辉,张铮.改良式助产手法在低危初产妇自然分娩中的应用[J].上海护理,2016,16(1):18-20.
[12]李一美,邵慧静,方晓红,等.第二产程延迟屏气对硬膜外分娩镇痛初产妇分娩结局的影响[J].中国护理管理,2016,16(3):319-321,322.
[13]孙丽媛,杜彩素,苏敏,等.社会支持、家庭功能与初产妇产褥期生命质量的关系研究[J].中国实用护理杂志,2017,33(5):358-361.
[14]何海燕,刘宏.侧卧位在产妇第二产程中应用的安全性及可行性研究[J].护理管理杂志,2017,17(2):146-147.
[15]FAN D,WANG E,DONG S.Exploiting polydopamine nanospheres to DNA computing:a simple,enzyme-free and G-quadruplex-free DNA parity generator/checker for error detection during data transmission[J].ACS Appl Mater Interfaces,2017,9(2):1322-1330.
[16]史晓红,张浩,罗凤梅.第二产程指导用力和自主用力对初产妇分娩结局及疲倦度的影响[J].护理学杂志,2016,31(12):23-25.
[17]刘嘉,冯世萍,陈铭红,等.应用标准化助产流程对初产妇自然分娩影响的研究[J].护理管理杂志,2016,16(2):123-125.
[18]王敏,张海宏.妊娠晚期会阴按摩联合凯格尔运动在初产妇自然分娩中的应用效果[J].护理研究,2017,31(33):4243-4246.
[2]贺建霞,康凤英,李琳波.生育政策调整下初产妇母乳喂养自我效能及影响因素的分析[J].中国实用护理杂志,2018,34(6):430-433.
[3]HAN K,KIM I,PARK Y G,et al.Associations between the number of natural teeth and the maternal age at childbirth or history of parity in postmenopausal women:the 2010-2012Korea national health and nutrition examination survey[J].Adv Clin Exp Med,2017,26(4):627-633.
[4]王玲,王晓薇,王战云.无保护会阴分娩产妇会阴裂伤的危险因素分析[J].中国护理管理,2017,17(12):1616-1619.
[5]楼俊,姚培琴,罗琪.初产妇第2产程时使用分娩凳辅助坐式用力的效果观察[J].护理学报,2016,23(15):56-58.
[6]MACHADO V S,NEVES R C,LIMA F S,et al.The effect of Presynch-Ovsynch protocol with or without estrus detection on reproductive performance by parity,and the long-term effect of these different management strategies on milk production,reproduction,health and survivability of dairy cows[J].Theriogenology,2017,15(93):84-92.
[7]胡晓娜,林素青,余丽珍.活跃晚期和第二产程初期支撑式前倾坐位对产妇分娩结局的影响[J].护理学杂志,2016,31(18):49-51.
[8]张喜梅,吴娜,厉跃红,等.自由体位分娩对初产妇分娩自控感与分娩结局的影响[J].上海护理,2017,17(5):59-61.
[9]欧阳娜,瞿佳,刘可,等.我国助产士门诊对初产妇分娩方式及分娩结局影响的Meta分析[J].护理学报,2017,24(2):4-10.
[10]HOLLOWELL J,LI Y,BUNCH K,et al.A comparison of intrapartum interventions and adverse outcomes by parity in planned freestanding midwifery unit and alongside midwifery unit births:secondary analysis of‘low risk’births in the birthplace in England cohort[J].BMCPregnancy Childbirth,2017,17(1):95.
[11]闵辉,张铮.改良式助产手法在低危初产妇自然分娩中的应用[J].上海护理,2016,16(1):18-20.
[12]李一美,邵慧静,方晓红,等.第二产程延迟屏气对硬膜外分娩镇痛初产妇分娩结局的影响[J].中国护理管理,2016,16(3):319-321,322.
[13]孙丽媛,杜彩素,苏敏,等.社会支持、家庭功能与初产妇产褥期生命质量的关系研究[J].中国实用护理杂志,2017,33(5):358-361.
[14]何海燕,刘宏.侧卧位在产妇第二产程中应用的安全性及可行性研究[J].护理管理杂志,2017,17(2):146-147.
[15]FAN D,WANG E,DONG S.Exploiting polydopamine nanospheres to DNA computing:a simple,enzyme-free and G-quadruplex-free DNA parity generator/checker for error detection during data transmission[J].ACS Appl Mater Interfaces,2017,9(2):1322-1330.
[16]史晓红,张浩,罗凤梅.第二产程指导用力和自主用力对初产妇分娩结局及疲倦度的影响[J].护理学杂志,2016,31(12):23-25.
[17]刘嘉,冯世萍,陈铭红,等.应用标准化助产流程对初产妇自然分娩影响的研究[J].护理管理杂志,2016,16(2):123-125.
[18]王敏,张海宏.妊娠晚期会阴按摩联合凯格尔运动在初产妇自然分娩中的应用效果[J].护理研究,2017,31(33):4243-4246.