【摘要】：目的探討足月頭位未銜接胎膜早破的初產(chǎn)婦臨產(chǎn)前取自由體位的安全性與可行性。方法經(jīng)過評估的未臨產(chǎn)足月頭先露未銜接的胎膜早破初產(chǎn)婦230例,采用隨機(jī)法分為兩組,實(shí)驗(yàn)組102例,入院完成檢查后送待產(chǎn)室進(jìn)行體位管理,對照組128例按照常規(guī)護(hù)理要求絕對臥床直至分娩。比較兩組的臍帶脫垂及新生兒窒息的發(fā)生情況、嬰兒體重、分娩方式,排尿情況、產(chǎn)程時間、破膜距離分娩時間、干預(yù)前后胎頭位置等指標(biāo)。結(jié)果 (1)兩組均無顯性及隱性臍帶脫垂發(fā)生,兩組嬰兒體重比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);(2)實(shí)驗(yàn)組陰道分娩率高于對照組(P0.05),枕橫位及枕后位的發(fā)生率低于對照組(P0.01);(3)實(shí)驗(yàn)組產(chǎn)程時間、破膜距離分娩時間短于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.01,P0.01);(4)實(shí)驗(yàn)組干預(yù)2.5 h后的胎頭位置明顯下降,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論無頭盆不稱的足月、頭位未銜接胎膜早破孕婦臨產(chǎn)前經(jīng)過干預(yù)后取自由體位可以提高自然分娩率,縮短產(chǎn)程。
[Abstract]:Objective to investigate the safety and feasibility of free posture before delivery in full-term parturients with unconnected premature rupture of membranes. Methods 230 parturients with premature rupture of membranes were randomly divided into two groups. 102 cases in the experimental group were sent to the delivery room for posture management after admission, and 128 cases in the control group stayed in bed until delivery according to the requirements of routine nursing. The occurrence of umbilical cord prolapse and neonatal asphyxia, infant weight, delivery mode, urination, labor time, distance from rupture of membrane and position of fetal head before and after intervention were compared between the two groups. Results (1) there was no dominant and hidden umbilical cord prolapse between the two groups. There was no significant difference in body weight between the two groups (P 0.05); (2). The vaginal delivery rate in the experimental group was higher than that in the control group (P 0.05). The incidence of occipital transverse position and occipital posterior position was lower than that in the control group (P 0.01); (3). The delivery time of the experimental group was shorter than that of the control group (P0.01, P 0.01). (4) the fetal head position of the experimental group decreased significantly after 2.5 h intervention, the difference was statistically significant (P 0.01). Conclusion the free posture of pregnant women with unconnected premature rupture of membranes before delivery can improve the natural delivery rate and shorten the delivery process.
【作者單位】： 陜西省人民醫(yī)院;
【基金】：陜西省2013-2014年度國家臨床重點(diǎn)�？平ㄔO(shè)項(xiàng)目專科護(hù)理基金資助(國衛(wèi)辦醫(yī)函[2013]544號)
【分類號】：R473.71

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