自由体位配合无创接生对初产妇分娩结局的影响

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Abstract Objective To investigate the effect of free position combined with non-invasive delivery technique on delivery outcome. Methods A total of 3514 cases of head-position, singleton and primipara in the Department of Obstetrics of Karamay Central Hospital of Xinjiang from January 2013 to December 2017 were divided into two groups according to the time points of free position waiting for delivery and non-invasive delivery technology. A total of 2125 primiparas with free posture and non-invasive delivery technique were used as the observation group from January 2015 to December 2017, 1389 primiparas with traditional bed waiting for delivery combined with traditional delivery technique from January 2013 to December 2014 were used as the control group. The differences in perineal lateral incision rate, degree of perineal laceration, perineal healing, postpartum bleeding volume, labor process time, average hospital stay, incidence of neonatal asphyxia and neonatal injury were compared between the two groups. Results There were highly statistically significant differences in lateral perineal incision rate, perineal healing and perineal laceration between the two groups (P < 0.01). The first and second stages of labor and the average daily hospitalization in the observation group were shorter than those in the control group, the differences were highly statistically significant (P < 0.01). There was no statistically significant difference in postpartum bleeding volume, neonatal birth injury and neonatal asphyxia between the two groups (P > 0.05). Conclusion The free position waiting for labor combined with non-invasive delivery technique can reduce the rate of lateral perineal incision, improve the comfort of perineum, accelerate the process of labor and shorten the average hospitalization days effectively. So, it is worth popularizing and applying widely in clinic.

Key words： Free position Non-invasive delivery Primipara Delivery outcomes

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	RAN Xiuwen1 GUAN Chanchan1 XU Sisi1 LIU Zhijuan1 NIE Cong2

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RAN Xiuwen1 GUAN Chanchan1 XU Sisi1 LIU Zhijuan1 NIE Cong2. Effect of free position combined with non-invasive delivery on the outcome of primiparas delivery[J]. 中国医药导报, 2020, 17(3): 94-97.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I3/94

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