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为观察体位管理对产程的影响,我院2005年1～12月对住院分娩108例单胎头位自然临产健康初产妇,随机分为观察组和对照组,对观察组54例产妇进行体位管理,宫口扩张<3cm时嘱其自由活动,宫口扩张>3cm时取半卧位,阴道检查确诊为枕横位及枕后位者行人工破膜,取胎儿脊柱同侧侧俯卧位,宫口开全后取膀胱截石位。结果观察组第一产程平均398min,第二产程平均46min,对照组第一产程平均700min,第二产程平均72min,两组比较,P<0.05,差异有显著意义;观察组顺产率72.22%,胎吸率9.26%,剖宫产率18.52%,对照组顺产率33.33%,胎吸率12.96%,剖宫产率53.70%,两组比较,P<0.05,差异有显著意义。提示产程中对产妇进行体位管理,可缩短产程,提高顺产率,降低难产率、剖宫产率、产后出血率及新生儿窒息率等。
To observe the impact of body position management on labor, our hospital from January 2005 to December in-hospital delivery of 108 cases of single-head natural spontaneous labor primipara, were randomly divided into observation group and control group, the observation group 54 maternal position management , Cervix expansion <3cm instruct free movement, cervix expansion> 3cm take semi-recumbent, vaginal examination confirmed transverse occiput and posterior position of artificial rupture of the fetus, fetus spinal ipsilateral prone position, Palace After the mouth to take the bladder lithotomy position. Results In the observation group, the average length of the first stage of labor was 398min, the average length of the second stage was 46min, the average length of the second stage of labor was 700min and the average length of the second stage was 72min. The difference was significant between the two groups (72.22% Absorption rate was 9.26%, cesarean section rate was 18.52%, control group was 33.33%, birth rate was 12.96% and cesarean section rate was 53.70%. There was significant difference between the two groups (P <0.05). Prompted the delivery process of maternal body position management, can shorten the labor process, improve the yield, reduce the rate of dystocia, cesarean section rate, postpartum hemorrhage rate and neonatal asphyxia.