CAJ | 학술논문

目的:时水中分娩产妇的产程、产道裂伤、产时和产后并发症、产时和产后镇痛药使用及新生儿结局进行分析,以评价水中分娩的安全性.方法:2003年3月1日至2007年6月30日在我院选择水中分娩的1227例产妇作为水中分娩组,将同期的单胎(无妊娠合并症及并发症)顺产的1227例产妇作为对照组.比较两组产程、产道裂伤、产时和产后并发症、产时和产后镇痛药使用及新生儿结局.结果:水中分娩组第一及第二产程时间、产褥病率、产后出血、会阴阴道血肿、产后尿潴留、新生儿轻度及重度窒息与对照组比较,两组差异无统计学意义(P>0.05);水中分娩组均未行会阴切开,对照组会阴切开率66.67%,两组比较,差异有高度统计学意义(P<0.01);水中分娩组下水后用镇痛药及产后用镇痛药与对照组比较明显减少,两组差异有高度统计学意义(P<0.01).结论:水中分娩能减轻分娩疼痛,减少产时、产后镇痛药的使用.减少产道损伤,且未发现对母儿有其他不良结局.
목적:시수중분면산부적산정、산도렬상、산시화산후병발증、산시화산후진통약사용급신생인결국진행분석,이평개수중분면적안전성.방법:2003년3월1일지2007년6월30일재아원선택수중분면적1227례산부작위수중분면조,장동기적단태(무임신합병증급병발증)순산적1227례산부작위대조조.비교량조산정、산도렬상、산시화산후병발증、산시화산후진통약사용급신생인결국.결과:수중분면조제일급제이산정시간、산욕병솔、산후출혈、회음음도혈종、산후뇨저류、신생인경도급중도질식여대조조비교,량조차이무통계학의의(P>0.05);수중분면조균미행회음절개,대조조회음절개솔66.67%,량조비교,차이유고도통계학의의(P<0.01);수중분면조하수후용진통약급산후용진통약여대조조비교명현감소,량조차이유고도통계학의의(P<0.01).결론:수중분면능감경분면동통,감소산시、산후진통약적사용.감소산도손상,차미발현대모인유기타불량결국.
Objective:The goal of our study was to evaluate the safety of water birth through analyzing the labor, the laceration of birth canal, the complications of postpartum, the drugs of easing pain and the outcomes of neonate. Methods: 1227 women having water birth were studied during March 1st 2003 to June 30th 2007, 1227 woman who had a normal vaginal delivery as the control group. We compared the labor, the laceration of birth canal, the complications of parturition and postpartum,the drugs of easing pain and the outcomes of neonate in two groups. Results: There was no significantly statistic difference in first and second stage of labor, incidence of umbilical cord breakage, puerperal morbidity, postpartum hemorrhage, perineum/vaginal haematoma, postpartum urinary retention, and neonatal distress between two groups( P>0.05). No episiotomy in waterbirth group( P<0.01). The rate of drugs to ease pain after entering the bath and postpartum in water birth group was lower than that of control group( P < 0.01). Conclusions: Water birth can ease pain of labor, lessen the trauma of birth canal and do no harm to maternal and neonatal outcome.