孕妇体操联合拉玛泽减痛分娩法对初产妇自然分娩r以及降低剖宫产率的影响

摘要

Objective To explore the effect of gymnastics combined with Lamaze pain-relief delivery mode on natural delivery of primipara and reducing cesarean section rate .Methods 120 primiparas on regular ante-natal examination were selected in our hospital from February 2016 to October 2016 ,which were randomly de-vided into rearch group (60 cases)and control group(60 cases) .The research group did gymnastics at week 16-28 ,and practiced Lamaze pain-relief delivery at the 28th week ,while the control group accepted routine prenatal examination .The delivery outcome ,delivery time and untoward effect after childbirth were observed and compared .Results The natural delivery rate of rearch group was 80 .0％ ,while the control group was 53 .3％ .The difference between two groups was statistically significant (P<0 .05) .Meanwhile ,cesarean sec-tion rate of rearch group was 16 .7％ ,while the control group was 40 .0％ .The difference between two groups was statistically significant (P<0 .05) .The first two delivery time and the total time of labor of the rearch group were shorter than those of the control group with the statistical differences (P<0 .05) .The differences of incidence of postpartum hemorrhage ,postpartum fever ,postpartum urinary frequency and side cut rate be-tween the two groups were statistically significant (P<0 .05) .Conclusion Prenatal gymnastics for pregnant women combined with the Lamaze pain-relief delivery mode can improve the natural delivery rate ,reduce the rate of cesarean section ,shorten birth process time and reduce the incidence of adverse pregnancy outcomes .It can be generalized in the primiparas .%目的 探讨孕妇体操联合拉玛泽减痛分娩法对初产妇自然分娩和降低剖宫产率的影响.方法 选择2016年2-10月来该院进行定期产前检查的初产妇120例,将其分为研究组和对照组,每组60例.研究组孕妇在16～28周做孕妇体操练习,28周做拉玛泽减痛分娩法锻炼;对照组孕妇接受产前的常规检查.观察并比较两组孕妇的分娩结局、分娩时间以及产后不良反应.结果 研究组的自然分娩率为80.0％,对照组的自然分娩率为53.3％,两组之间差异有统计学意义(P<0.05).同时,研究组的剖宫产率为16.7％,对照组的剖宫产率为40.0％,差异有统计学意义(P<0.05).研究组的前2个产程的分娩时间和总产程的时间均少于对照组,差异有统计学意义(P<0.05).研究组孕妇产后出血发生率、产后发热、产后尿频、侧切率与对照组比较,差异均有统计学意义(P<0.05).结论 产前孕妇体操配合拉玛泽减痛分娩法可提高初产妇自然分娩率、降低剖宫产率、缩短产程时间、降低不良妊娠结局的发生率,值得在初产妇中进行推广.