侧卧位与截石位在足月初产妇第二产程护理中的应用比较

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Abstract Objective To compare the application effect of lateral position and lithotomy position in the second stage of labor nursing for full-term primiparas, to guide the nursing intervention for the second stage of labor for full-term primiparas. Methods From April 2018 to April 2020, 120 full-term primiparas in the First Affiliated Hospital of Nanjing Medical University were selected as the research objects. They were divided into observation group (60 cases) and control group (60 cases) by random number table method. Observation group was used the lateral position during the second stage of labor, and control group was used the lithotomy position during the second stage of labor. The duration of the second stage of labor, the vaginal delivery rate, the perineal pain degree (visual analogue scale [VAS] assessment) at 2, 4, 8 h after delivery, and the incidence of perineal injury and perineal lateral resection between two groups were compared. Results The second stage of labor in observation group was shorter than that in the control group, and the vaginal delivery rate was lower than that in control group, and the differences were significant statistically (all P < 0.05). VAS score at 8 h after delivery was lower than that at 2, 4 h after delivery, VAS score at 4 h after delivery was lower than that at 2 h after delivery; VAS scores of observation group at each time point were lower than those of the control group, and the differences were significant statistically (all P < 0.05). The incidence of perineal injury and perineal lateral resection in observation group were lower than those in control group, and the differences were significant statistically (all P < 0.05). Conclusion The use of lateral position in the second stage of labor for full-term primiparas are beneficial to shorten the second stage of labor, effectively reduce vaginal delivery, and reduce the degree of perineal pain, perineal injury and perineal lateral resection.

Key words： Full-term primiparas Lateral position Lithotomy position Second stage of labor Delivery outcome Pain Perineal injury

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	DING Weiwei XUE Mei LU Yunbo▲

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DING Weiwei XUE Mei LU Yunbo▲. Comparison of the application of lateral position and lithotomy position in the second stage of labor nursing of full-term primiparas[J]. 中国医药导报, 2021, 18(15): 129-132.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I15/129

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