江真真 葉嚇平

[摘要] 目的 該次研究重點分析產(chǎn)婦分娩過程中全程自由體位干預(yù)的價值。方法 方便選取2017年1—12月間該院進行分娩的30例產(chǎn)婦為研究組，在分娩的一二產(chǎn)程讓產(chǎn)婦選擇適合自身的體位，同時選擇2017年1—12月間該院進行分娩的30例采取傳統(tǒng)分娩方式的產(chǎn)婦作為對照組。對比兩組產(chǎn)婦第一產(chǎn)程、第二產(chǎn)程及第三產(chǎn)程時間;兩組產(chǎn)婦會陰側(cè)切率及產(chǎn)后出血率;研究組和對照組新生兒窒息情況。結(jié)果 研究組產(chǎn)婦第一產(chǎn)程、第二產(chǎn)程及第三產(chǎn)程時間明顯短于對照組，兩組分別為[（492.52±42.52）min、（31.82±6.38）min、（13.15±2.34）min]、[（586.28±68.72）min、（36.19±8.582）min、（18.19±3.05）min]，差異有統(tǒng)計學(xué)意義（t=5.327、5.528、6.345，P<0.05）;研究組產(chǎn)婦會陰側(cè)切率及產(chǎn)后出血率明顯低于對照組，兩組分別為（0%、0%）、（10%、20%），差異有統(tǒng)計學(xué)意義（χ2=5.388、6.024，P<0.05）;研究組和對照組新生兒窒息例數(shù)分別為0例、5例，差異有統(tǒng)計學(xué)意義（χ2=5.694，P<0.05）。結(jié)論 自由體位分娩可縮短產(chǎn)程，降低會陰側(cè)切率及產(chǎn)后出血率，保證給產(chǎn)婦提供更舒適、更適宜生理體位，從而降低新生兒窒息的發(fā)生。

[關(guān)鍵詞] 自由體位;分娩;第一產(chǎn)程;第二產(chǎn)程;第三產(chǎn)程;新生兒

[中圖分類號] R248.3 ? ? ? ? ?[文獻標(biāo)識碼] A ? ? ? ? ?[文章編號] 1674-0742（2019）10（c）-0160-03

[Abstract] Objective This study focused on the value of free body position intervention during maternal delivery. Methods Thirty maternal women who gave birth in our hospital from January to December 2017 were convenient selected as the study group. During the one or two labors of childbirth， the mothers were selected to suit their position， and from January ?to December 2017， 30 women who underwent traditional delivery in our hospital were used as a control group. The first stage of labor， the second stage of labor and the third stage of labor were compared between the two groups; the rate of perineal side-cutting and postpartum hemorrhage in the two groups; the neonatal asphyxia in the study group and the control group. Results The first， second and third stage of labor in the study group were significantly shorter than the control group. The two groups were [（492.52±42.52）min， （31.82±6.38）min， （13.15±2.34）min]， [（586.28±68.72）min， （36.19±8.582） min and （18.19±3.05）min]， the difference was statistically significant （t=5.327， 5.528， 6.345， P<0.05）. The rate of perineal cut and postpartum hemorrhage in the study group was significantly lower than that in the control group （0%， 0%），（10%， 20%）， the difference was statistically significant（χ2=5.388， 6.024， P<0.05）; the number of neonatal asphyxia in the study group and the control group were 0 case and 5 cases， respectively. The difference was statistically significant （χ2=5.694， P<0.05）. Conclusion Free position delivery can shorten the labor process， reduce the rate of perineal cut and postpartum hemorrhage， and ensure more comfortable and more suitable physiological position for the mother， thus reducing the occurrence of neonatal asphyxia.