会阴无保护配合无痛分娩对初产妇分娩结局及盆底功能的影响

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Abstract Objective To study the effect of unprotected perineum combined with painless delivery on delivery outcome and pelvic floor function of primipara. Methods From January 2018 to August,100 primipara who delivered in Suzhou Jiulong Hospital Affiliated to Shanghai Jiao Tong University School of Medicine were selected as observation objects. They were divided into the combined group and the control group by random number table method, 50 cases in each group. The control group adopted unprotected perineal delivery, while the combined group adopted unprotected perineal delivery combined with painless delivery. The delivery outcome, pelvic floor function, perineal injury and complications were compared between the two groups. Results The duration of the second stage of labor, the amount of bleeding within 2 h after delivery and the length of hospitalization in combined group were lower than those in control group (all P < 0.05). The proportion of puerpera with POP-Q score of 0 degree in combined group was higher than that in control group, and the proportion of puerpera with 2 degree was lower than that in the control group, the proportion of puerpera with more than 3 degree was higher than that of the control group (all P < 0.05). The degree of perineal injury in the combined group was significantly lower than that in the control group (P < 0.05). The incidence of postpartum complications in the combined group was lower than that in the control group(P < 0.05). Conclusion Unprotected perineum combined with painless delivery can significantly improve the outcome of delivery of primipara, promote the recovery of pelvic floor function, effectively reduce the degree of perineal laceration, and reduce the risk of complications. It is worthy of clinical application.

Key words： Primipara Unprotected perineum Painless delivery Delivery outcome Pelvic floor functional

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	LI Wen1 WANG Jie1 QIN Yang2 WEI Wei1

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LI Wen1 WANG Jie1 QIN Yang2 WEI Wei1. Effect of unprotected perineum combined with painless delivery on the outcome and pelvic floor function of primipara[J]. 中国医药导报, 2019, 16(27): 101-104.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I27/101

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