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目的:探讨无保护分娩法在减少初产妇会阴损伤中的应用效果。方法:将金华市妇幼保健院2016年1月至4月收治的300名初产妇随机分为观察组150例和对照组150例,对照组采用常规分娩法,观察组采用无保护分娩,比较两组的会阴损伤情况、会阴疼痛情况以及产后的生活质量。结论:观察组的会阴裂伤率低于对照组,裂伤程度轻于对照组,疼痛程度轻于对照组,差异有统计学意义(P<0.05)。观察组产后1d在日常活动、睡眠质量、精神状态等方面的生活质量高于对照组,差异有统计学意义(P<0.05)。结论:无保护分娩能够减少初产妇分娩过程中的会阴损伤,减轻会阴疼痛程度,提高产后生活质量。
Objective: To explore the application of unprotected childbirth in reducing the perineal injury of primipara. Methods: The 300 primiparous women in Jinhua Maternal and Child Health Hospital from January to April in 2016 were randomly divided into observation group (150 cases) and control group (150 cases). The control group received routine labor and the observation group received unprotected childbirth Group of perineal injury, perineal pain and postpartum quality of life. Conclusion: The rate of perineal laceration in the observation group is lower than that in the control group, the degree of laceration is lower than that in the control group, and the degree of pain is lighter than that in the control group. The difference is statistically significant (P <0.05). The quality of life of the observation group in daily activities, sleep quality, mental status and other aspects was higher than that of the control group on the 1st day postpartum, the difference was statistically significant (P <0.05). CONCLUSIONS: Unprotected childbirth can reduce perineal injury during delivery, reduce the severity of perineal pain and improve postnatal quality of life.