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目的:探究初产顺产者在分娩过程中以自由体位、分娩减痛法联合分娩的情况。方法:本次研究对象为广宁县妇幼保健院2016年6月至2016年12月568例入院待产并为初产的孕妇,按孕妇入院时间随机分为一般组(自由体位分娩)、观察组(自由体位、分娩减痛法),两组人数均为284例,观察产妇产程时间、出血量,评估分娩过程中产妇疼痛感,记录产妇分娩结局,同时对产后5 min新生儿进行评分。结果:观察组剖宫产率为3.2%,明显低于一般组11.3%,差异具有统计学意义(P<0.05);观察组孕妇疼痛程度较一般组低,新生儿评分高于一般组,差异具有统计学意义(P<0.05);观察组第一、第二、第三产程用时以及分娩出血量均较一般组少,差异具有统计学意义(P<0.05)。结论:临床对初次顺产孕妇行自由分娩体位、分娩减痛法联合,能有效减轻产妇分娩疼痛、缩短产程,减少剖宫产率。
Objective: To explore the situation of primiparous cistern in free birth during childbirth and labor with pain relief combined with childbirth. Methods: The study was conducted in Guangning County Maternal and Child Health Hospital from June 2016 to December 2016 568 pregnant women admitted to hospital for treatment and primiparous were randomly divided into general group (free position delivery) and observation group ( Free position, giving birth to pain method), the number of patients in both groups were 284 cases observed maternal labor time, bleeding, assessment of maternal pain during childbirth, maternal childbirth outcomes recorded at the same time, 5 min postpartum newborns were scored. Results: The rate of cesarean section in the observation group was 3.2%, which was significantly lower than that in the general group (11.3%), the difference was statistically significant (P <0.05). The degree of pain in the observation group was lower than that in the general group, (P <0.05). The first, second and third stage of labor and the amount of bleeding in the observation group were less than the general group (P <0.05). Conclusion: The clinical delivery for first-time pregnant women with free birth position, pain relief combined with childbirth, can effectively reduce the pain of childbirth delivery, shorten the labor process and reduce the rate of cesarean section.