CAJ | 학술논문

目的：探讨水中分娩的镇痛效果及对母婴的安全性。方法：选取水中分娩(水中分娩组)98例,同期传统阴道分娩(对照组)96例。采用问卷调查形式,对产妇主观疼痛程度进行评分。观察2组产妇的产程、产后出血、会阴裂伤、新生儿窒息及入水前后疼痛情况。结果：产妇入水后疼痛较入水前明显减轻(P<0.01)；水中分娩组无一例会阴侧切,对照组会阴侧切率66.67%,差异有统计学意义(P<0.01)；水中分娩组第一产程时间明显短于对照组(P<0.01),2组产妇在第二、三产程时间、出血量、会阴裂伤、产后出血和新生儿窒息差异均无统计学意义(P>0.05)。结论：水中分娩可减轻分娩疼痛,减少会阴损伤,对母婴是安全的。
목적：탐토수중분면적진통효과급대모영적안전성。방법：선취수중분면(수중분면조)98례,동기전통음도분면(대조조)96례。채용문권조사형식,대산부주관동통정도진행평분。관찰2조산부적산정、산후출혈、회음렬상、신생인질식급입수전후동통정황。결과：산부입수후동통교입수전명현감경(P<0.01)；수중분면조무일례회음측절,대조조회음측절솔66.67%,차이유통계학의의(P<0.01)；수중분면조제일산정시간명현단우대조조(P<0.01),2조산부재제이、삼산정시간、출혈량、회음렬상、산후출혈화신생인질식차이균무통계학의의(P>0.05)。결론：수중분면가감경분면동통,감소회음손상,대모영시안전적。
Objective:To assess the analgesic effect of water birth and its safety for the mother and the newborn. Methods:Ninety-eight pregnant women who delivered under water were enrolled in the water birth group and 96 pregnant women who delivered vaginally acted as control. The subjective pain intensity score was evaluated by the questionnaires. The birth process, labor pain, intrapartum hemorrhage,perineal tears of the parturients and incidence of neonatal asphyxia were compared between the two groups. Results:The intensity of labor pain in the water birth group was significantly decreased after the parturient women got into water(P<0.01). No episiotomy occurred in the water birth group,and the episiotomy rate in the control group was 66. 67%;the difference was not significant between the two groups(P<0. 01). There was obvious difference between the two groups in the length of the first stage of labor(P<0. 01),but no significant difference in the second and third stage of labor,blood loss,perineal laceration,postpartum hemorrhage or neonatal asphyxia(P>0. 05). Conclusions:Water birth can relieve labor pain and reduce perineal trauma;it is safe for the mother and the newborn.