自由体位在第一产程中纠正枕后位/枕横位的应用效果
[摘要]目的 探討自由体位在第一产程中纠正枕后位/枕横位的应用效果。方法 选取2017年1月～2018年12月在我院进行分娩的80例枕后位/枕横位产妇作为研究对象，采用随机数字表法将其分为观察组和对照组，每组各40例。观察组产妇采用自由体位分娩，对照组产妇采用传统床上卧位待产。比较两组产妇的分娩情况、产程时间情况、治疗总满意度。结果 观察组产妇的转位成功率、阴道分娩率高于对照组，剖宫产率、新生儿窒息发生率低于对照组，差异有统计学意义(P<0.05);观察组产妇的第一产程、第二产程、总产程均短于对照组，差异有统计学意义(P<0.05)。观察组产妇的治疗总满意度高于对照组，差异有统计学意义(P<0.05)。结论 自由体位在第一产程中纠正枕后位/枕横位的应用效果明显，可以提高产妇的转位成功率、阴道分娩率，降低剖宫产率、新生儿窒息发生率，缩短产程，应用价值较高。
[关键词]自由体位;第一产程;纠正;枕后位;枕横位
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)2(c)-0096-04
Application effect of free posture in correcting occipitoposterior/occipitotransverse position during the first stage of labor
RONG Bin FENG Huai ZHANG Li-li YU Fang
Department of Obstetrics， General Hospital of Pingxiang Mining Group Co.， Ltd.， Jiangxi Province， Pingxiang 337000， China
[Abstract] Objective To investigate the application application effect of free posture in correcting the occipitoposterior/occipitotransverse position during the first stage of labor. Methods Eighty occipitoposterior/occipitotransverse puerperae who delivered in our hospital from January 2017 to December 2018 were selected as the research subjects. They were divided into observation group (n=40) and control group (n=40) by random number table method. Pregnant women in the observation group gave birth in free posture， while those in the control group delivered in the traditional clinostatism. Delivery， labour time， total and total treatment satisfaction were compared between the two groups. Results The success rate of translocation and the vaginal delivery rate in the observation group were higher than those of the control group， and the rate of cesarean section and the incidence of neonatal asphyxia were lower than those of the control group， the differences were statistically significant (P<0.05). The first stage of labour， the second stage of labour， and the total stage of labor in the observation group were all shorter than those in the control group， the differences were statistically significant (P<0.05). The total treatment satisfaction in the observation group was higher than that in the control group， the difference was statistically significant (P<0.05). Conclusion The application of free posture in correcting the occipitoposterior/occipitotransverse position at the first stage of labor is obvious. It can increase the success rate of transposition， vaginal delivery rate， reduce the rate of cesarean section and the incidence of neonatal asphyxia， and shorten the labor time， which is of high application value., 百拇医药(荣彬 冯怀 张丽丽 余芳)
[关键词]自由体位;第一产程;纠正;枕后位;枕横位
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)2(c)-0096-04
Application effect of free posture in correcting occipitoposterior/occipitotransverse position during the first stage of labor
RONG Bin FENG Huai ZHANG Li-li YU Fang
Department of Obstetrics， General Hospital of Pingxiang Mining Group Co.， Ltd.， Jiangxi Province， Pingxiang 337000， China
[Abstract] Objective To investigate the application application effect of free posture in correcting the occipitoposterior/occipitotransverse position during the first stage of labor. Methods Eighty occipitoposterior/occipitotransverse puerperae who delivered in our hospital from January 2017 to December 2018 were selected as the research subjects. They were divided into observation group (n=40) and control group (n=40) by random number table method. Pregnant women in the observation group gave birth in free posture， while those in the control group delivered in the traditional clinostatism. Delivery， labour time， total and total treatment satisfaction were compared between the two groups. Results The success rate of translocation and the vaginal delivery rate in the observation group were higher than those of the control group， and the rate of cesarean section and the incidence of neonatal asphyxia were lower than those of the control group， the differences were statistically significant (P<0.05). The first stage of labour， the second stage of labour， and the total stage of labor in the observation group were all shorter than those in the control group， the differences were statistically significant (P<0.05). The total treatment satisfaction in the observation group was higher than that in the control group， the difference was statistically significant (P<0.05). Conclusion The application of free posture in correcting the occipitoposterior/occipitotransverse position at the first stage of labor is obvious. It can increase the success rate of transposition， vaginal delivery rate， reduce the rate of cesarean section and the incidence of neonatal asphyxia， and shorten the labor time， which is of high application value., 百拇医药(荣彬 冯怀 张丽丽 余芳)