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目的探讨分析自由体位与高臀卧位待产对足月头位已衔接的胎膜早破孕妇自然分娩结局的影响。方法选取镇平县人民医院2013年9月—2014年9月收治的66例足月头位已衔接的胎膜早破孕妇,将其分为观察组(33例)和对照组(33例),给予观察组产妇自由体位待产,给予对照组产妇高臀卧位待产,对比两组产妇羊水流失、产程、失血量、并发症及新生儿情况。结果观察组有25例阴道分娩,8例剖宫产,对照组有14例阴道分娩,19例剖宫产,两组差异对比有意义(P<0.05)观察组羊水流失、产程、失血量均小于对照组,两组差异对比有意义(P<0.05),观察组产妇尿潴留、会阴侧切的发生率低于对照组,两组差异对比有意义(P<0.05)。两组新生儿吸入综合征、窒息、颅内出血发生率等对比无意义(P>0.05)。结论对足月头位已衔接的胎膜早破孕妇采取自由体位能促进自然分娩率,减少产程中羊水的流出量和失血量,安全可行,舒适度较高,值得临床推广和应用。
Objective To investigate the effects of free body position and high hip position to be delivered on the spontaneous delivery outcome of pregnant women with premature rupture of membranes. Methods Totally 66 pregnant women with premature rupture of membranes who had been in contact with full-term head position in Zhenping People’s Hospital from September 2013 to September 2014 were divided into observation group (33 cases) and control group (33 cases) , Giving the observation group maternal free position to be produced, given the control group of high-lying hip to be produced, compared the two groups of mothers amniotic fluid loss, labor, blood loss, complications and neonatal conditions. Results In the observation group, there were 25 cases of vaginal delivery and 8 cases of cesarean delivery. The control group had 14 cases of vaginal delivery and 19 cases of cesarean section. There was significant difference between the two groups (P <0.05). The amniotic fluid loss, labor and blood loss The difference between the two groups was significant (P <0.05). The incidence of urinary retention and episiotomy in the observation group was lower than that in the control group. There was significant difference between the two groups (P <0.05). Two groups of neonatal asphyxia, suffocation, the incidence of intracranial hemorrhage and other non-significant (P> 0.05). Conclusion The pregnant women with premature rupture of membranes who have the first full-term head position have the chance to promote spontaneous labor rate and reduce the amniotic fluid outflow and blood loss in labor, which is safe and feasible. It is worthy of clinical promotion and application.