改良式低位产钳术与会阴侧切低位产钳术助产对妊娠结局的影响

摘要

Objective To analyze effects of modified low forceps and episiotomy low forceps midwifery on pregnancy outcomes.Methods A total of 140 parturient women,who underwent forceps midwifery during January 2014 and June 2016,were divided into observation group (n =78) and control group (n =62) according to obstetrical methods.Observation group received modified low forceps midwifery,while control group received episiotomy low forceps midwifery.Maternal labor condition and pregnancy outcomes were compared in two groups.Results There were no significant differences in duration of the second stage of labor,status of vaginal laceration,neonatal Apgar score,incidence rates of cervical laceration and maternal postpartum complications and incidence rate of neonatal complications between two groups (P ＞ 0.05).In observation group,values of intrapartum and postpartum blood loss were less,and hospitalization time was shorter than those in control group (P ＜ 0.05);incidence rates of perineal infection,postpartum hemorrhage,urinary retention and perineal pain were lower than those in control group (P ＜ 0.05).Conclusion Modified low forceps midwifery can achieve less maternal trauma,and parturient women can recover quickly after operation.%目的 分析改良式低位产钳术与会阴侧切低位产钳术助产对产妇妊娠结局的影响.方法 选择2014年1月-2016年6月行产钳术助产的140例产妇,按助产方式分为观察组78例和对照组62例.观察组采用改良式低位产钳术,对照组采用会阴侧切低位产钳术.比较2组产妇分娩情况及妊娠结局.结果 2组第二产程时间、阴道撕裂情况、新生儿Apgar评分、宫颈裂伤、产妇产后并发症、新生儿并发症发生率比较差异无统计学意义(P＞0.05).观察组产时及产后出血量少于对照组,住院时间短于对照组(P＜0.05);观察组会阴感染、产后出血、尿潴留、会阴疼痛发生率均低于对照组(P＜0.05).结论 采用改良式低位产钳术进行阴道助产,对产妇创伤小,产妇术后恢复快.