国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
15期
2273-2276
,共4页
盆底肌%功能锻炼%导乐分娩%分娩质量%母婴健康
盆底肌%功能鍛煉%導樂分娩%分娩質量%母嬰健康
분저기%공능단련%도악분면%분면질량%모영건강
Pelvic floor muscles%Functional exercise%Doula%Delivery quality%Maternal and child health
目的 探讨孕期盆底肌锻炼联合导乐陪伴分娩对分娩质量及母婴健康的影响.方法 选取292例孕妇,97例于妊娠28周开始盆底肌功能锻炼至分娩前,分娩时实施导乐陪伴分娩服务模式(观察组)；99例常规产前检查,分娩时实施导乐陪伴分娩服务模式(对照1组)；96例按常规妊娠分娩处理(对照2组).对比各组分娩前盆底肌张力,并记录产程时间和阴道分娩情况.结果 观察组盆底肌张力强于对照1组和对照2组(P＜ 0.05),产程缩短,自然分娩率显著提高,剖宫产率、阴道助产率、胎儿窘迫率、新生儿窒息率、产后出血率均明显降低,差异有显著性(P＜ 0.05).结论 孕期行盆底肌锻炼联合产时实施导乐陪伴分娩服务模式,可增强盆底肌张力、抑制不良情绪、缩短产程、提高自然分娩率、降低难产率、新生儿窒息率及产后出血率,提高产时质量,保障母婴健康.
目的 探討孕期盆底肌鍛煉聯閤導樂陪伴分娩對分娩質量及母嬰健康的影響.方法 選取292例孕婦,97例于妊娠28週開始盆底肌功能鍛煉至分娩前,分娩時實施導樂陪伴分娩服務模式(觀察組)；99例常規產前檢查,分娩時實施導樂陪伴分娩服務模式(對照1組)；96例按常規妊娠分娩處理(對照2組).對比各組分娩前盆底肌張力,併記錄產程時間和陰道分娩情況.結果 觀察組盆底肌張力彊于對照1組和對照2組(P＜ 0.05),產程縮短,自然分娩率顯著提高,剖宮產率、陰道助產率、胎兒窘迫率、新生兒窒息率、產後齣血率均明顯降低,差異有顯著性(P＜ 0.05).結論 孕期行盆底肌鍛煉聯閤產時實施導樂陪伴分娩服務模式,可增彊盆底肌張力、抑製不良情緒、縮短產程、提高自然分娩率、降低難產率、新生兒窒息率及產後齣血率,提高產時質量,保障母嬰健康.
목적 탐토잉기분저기단련연합도악배반분면대분면질량급모영건강적영향.방법 선취292례잉부,97례우임신28주개시분저기공능단련지분면전,분면시실시도악배반분면복무모식(관찰조)；99례상규산전검사,분면시실시도악배반분면복무모식(대조1조)；96례안상규임신분면처리(대조2조).대비각조분면전분저기장력,병기록산정시간화음도분면정황.결과 관찰조분저기장력강우대조1조화대조2조(P＜ 0.05),산정축단,자연분면솔현저제고,부궁산솔、음도조산솔、태인군박솔、신생인질식솔、산후출혈솔균명현강저,차이유현저성(P＜ 0.05).결론 잉기행분저기단련연합산시실시도악배반분면복무모식,가증강분저기장력、억제불량정서、축단산정、제고자연분면솔、강저난산솔、신생인질식솔급산후출혈솔,제고산시질량,보장모영건강.
Objective To explore the effects of pelvic floor muscle exercises combined with Doula on labor quality and maternal and child health.Methods 292 pregnant women were included in this study.97 of the women began muscle function exercise at a gestational age of 28 weeks until childbirth and received Doula service during labor ( study group ):99 women received conventional prenatal examination and Doula service during labor ( control group 1 ):and another 96 women received tradional delivery care ( control group 2 ).Pelvic muscle tension was compared among the three groups.Duration of labor courses and vaginal delivery status were recorded.Results Muscle tension was stronger in the study group than in the control groups 1 and 2 ( P＜ 0.05 ).Duration of labor courses was shorter,rate of vaginal delivery markedly increased,and rates of C-section,assisted vaginal delivery,fetal distress and suffocation,and postpartum hemorrhage were lower in the study group,with a significant difference.Conclusions Prenatal pelvic floor muscle exercises combined with Doula during delivery can strengthen pelvic muscle tension,restrain adverse mood,shorten labor courses,enhance rate of vaginal delivery,reduce rates of dystocia,newborn suffocation,and postpartum hemorrhage,improve quality of childbirth,and guarantee maternal and child health.
