CAJ | 학술논문

目的探讨拉玛泽分娩法在全产程分阶段应用对产妇情绪、疼痛程度及分娩结局的影响，以探寻拉玛泽分娩法在构建自然分娩法则中的作用。方法选取2010年3月至2011年5月在本院定期产前检查，孕周28周即开始接受拉玛泽分娩技巧培训，具备自然分娩条件，且有自然分娩意愿，分娩时开始接受拉玛泽分娩法训练的初产妇269例作为观察组；选取同期具备自然分娩条件，且有自然分娩意愿，但孕期未接受拉玛泽分娩法训练，分娩时也不进行拉玛泽分娩法指导的初产妇280例为对照组。分别比较两组产妇在产程过程中的焦虑、抑郁程度、产时疼痛程度及分娩结局的情况。结果两组产妇产前焦虑、抑郁程度、产时疼痛程度、分娩时间、剖宫产率、产后出血及新生儿窒息率，差异均有统计学意义。结论熟练掌握并实时应用拉玛泽分娩法能有效降低产妇对分娩的恐惧感及产时疼痛程度，有效缩短产程、提高自然分娩率，减少产后出血及新生儿窒息的发生率，从而提高产科质量，值得在临床广泛推广应用。
목적탐토랍마택분면법재전산정분계단응용대산부정서、동통정도급분면결국적영향，이탐심랍마택분면법재구건자연분면법칙중적작용。방법선취2010년3월지2011년5월재본원정기산전검사，잉주28주즉개시접수랍마택분면기교배훈，구비자연분면조건，차유자연분면의원，분면시개시접수랍마택분면법훈련적초산부269례작위관찰조；선취동기구비자연분면조건，차유자연분면의원，단잉기미접수랍마택분면법훈련，분면시야불진행랍마택분면법지도적초산부280례위대조조。분별비교량조산부재산정과정중적초필、억욱정도、산시동통정도급분면결국적정황。결과량조산부산전초필、억욱정도、산시동통정도、분면시간、부궁산솔、산후출혈급신생인질식솔，차이균유통계학의의。결론숙련장악병실시응용랍마택분면법능유효강저산부대분면적공구감급산시동통정도，유효축단산정、제고자연분면솔，감소산후출혈급신생인질식적발생솔，종이제고산과질량，치득재림상엄범추엄응용。
Objective Investigate the effect of Lamaze childbirth method used at different phrases during the whole birth process on maternal mood, the pain level and delivery outcomes, in order to explore its function in constructing natural childbirth law. Methods 269 primiparas, taking regularly examination, accepting Lamaze childbirth method training from gestational age at 28 weeks, willing to take spontaneous delivery with natural childbirth conditions in our hospitals from March 2010 to May 2011 were assigned to the observation group. Another 280 primiparas under the same conditions were set as the control group, in which the primiparas received neither training through pregnant period nor any instructions related to it even during childbirth process. The two groups were compared in respect of the SDS, SAS,the pain level and delivery outcomes. Results The observation group was signiifcantly superior to the control group in respect of the SDS,SAS, pain level, delivery time and asphyxia of newborns. The cesarean section rate and the amount of vaginal bleeding decreased obviously in the observation group. Conclusions The Lamaze childbirth method may effectively reduce fears and pain leve1s, shorten the stage of labor, facilitate natural childbirth, lower the rate of uterine-incision delivery and decrease postpartum hemorrhage and the rate of asphyxia of newborns. Consequently, it is of great practical value in maternity and can be safely used for a wide range.