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目的比较不同分娩方式对产妇产后并发症的影响。方法所选产妇按照分娩方式分成自然分娩组、无痛分娩组和剖宫产组,观察产妇产后出血量、产后24 h子宫高度下降程度、产后Beck抑郁评分和开始泌乳时间。结果三组产妇产后2 h出血量比较:剖宫产组明显高于无痛分娩组和自然分娩组,差异有统计学意义(P<0.05),无痛分娩组和自然分娩组比较差异无统计学意义(P>0.05)。产后Beck抑郁评分比较:剖宫产组评分最高,无痛分娩组评分最低,组间比较差异有统计学意义(P<0.05)。产后24 h宫高下降程度比较:剖宫产组明显小于无痛分娩组和自然分娩组,差异有统计学意义(P<0.05),无痛分娩组和自然分娩组间比较差异无统计学意义(P>0.05)。三组产妇产后开始泌乳时间比较差异无统计学意义(P>0.05)。结论剖宫产增加产妇产后并发症风险,无痛分娩未见对产妇有不良影响,是一种较好的分娩方式。
Objective To compare the effects of different modes of delivery on postpartum complications in maternal age. Methods The selected mothers were divided into spontaneous delivery group, painless delivery group and cesarean section group according to mode of delivery. Obstetrical postpartum hemorrhage volume, postpartum 24 h uterine height reduction, postpartum Beck depression score and the beginning of lactation time were observed. Results The three groups of postpartum 2 h postpartum hemorrhage volume comparison: cesarean section group was significantly higher than the painless childbirth group and the natural childbirth group, the difference was statistically significant (P <0.05), painless childbirth group and natural childbirth group no statistical difference Significance (P> 0.05). Postpartum Beck depression score: the highest score of cesarean section, the lowest score of painless delivery group, the difference between the groups was statistically significant (P <0.05). Comparison of the degree of reduction of the palace height at 24 h postpartum: The cesarean section group was significantly smaller than the painless delivery group and the spontaneous delivery group, with significant difference (P <0.05). There was no significant difference between the painless delivery group and the spontaneous delivery group (P> 0.05). There was no significant difference in the lactation time among the three groups (P> 0.05). Conclusion Cesarean section increases the risk of postpartum complications and no painful delivery has no adverse effect on the mothers, which is a good mode of delivery.