无保护助产护理在促进初产妇自然分娩中的应用

2021-12-13帕提曼·祖农王宇

婚育与健康 2021年21期

帕提曼·祖农王宇

【摘要】目的：探究无保护助产护理在初产妇自然分娩过程中的促进作用。方法：选取我院2020年1月至12月收治的460例自然分娩的初产妇作为观察对象，并随机分为对照组（n=230）和观察组（n=230），其中对照组孕妇在生产过程中采用常规助产护理；观察组孕妇在生产过程中采用无保护助产护理。观察两组孕妇相关分娩指标和会阴损伤情况。结果：观察组孕妇出血量和住院时间明显少于对照组，VAS评分低于对照组，且观察组孕妇会阴损伤率以及损伤程度低于对照组，以上差异具有统计学意义（P<0.05）。结论：在初产妇自然分娩时采用无保护助产护理有利于孕妇产后恢复，降低并发症，提高了自然分娩效率。

【关键词】初产妇自然分娩；无保护助产护理；应用效果

Application of Unprotected Midwifery Nursing in Promoting Natural Delivery of Primipara

PA timan·zunong， Wang Yu

The Second Peoples Hospital of Xinjiang，Kashgar， Xinjiang Kashgar 844000，China

【Abstract】Objective：To explore the role of unprotected midwifery nursing in the process of natural delivery of primiparas. Methods： Four hundred and sixty primiparas who were admitted to our hospital from January 2020 to December 2020 who underwent natural childbirth were selected as observation objects， and were randomly divided into control group （n=230） and observation group （n=230）. The pregnant women in the control group used routine midwifery care during the delivery process； The pregnant women in the observation group used unprotected midwifery care during the delivery process. Observing the related delivery indicators and perineal injury of the two groups of pregnant women. Results： The bleeding volume and length of stay in the observation group were significantly less than those in the control group. The VAS score was lower than those in the control group，and the perineal injury rate and injury degree of the observation group were lower than those of the control group. The above difference was statistically significant （P<0.05）. Conclusion： The use of unprotected midwifery care during the natural delivery of primipara is beneficial to the postpartum recovery of pregnant women， reduce complications， and improve the efficiency of natural delivery.

【Key？Words】Natural childbirth of primipara； Unprotected midwifery nursing； Application effect

自然分娩即经阴道分娩是目前国际认定的最佳的分娩方式，有利于胎儿发育并提升其免疫力[1]。但是初产妇由于生殖结构、心理状态、经验不足以及外界压力等多方面影响，通常在自然分娩过程中用力不当将过大的压力集中于会阴部，从而易导致会阴撕裂必要时需进行会阴侧切，从而引起巨大的生理疼痛，严重影响孕妇第二产程的状态[2]。相关研究表明，无保护助产护理最大化地运用了孕妇的分娩生理变化，充分发挥盆底组织的延展功能，遵循胎儿自然娩出，减少人为干预，是一种高效的助产护理方式[3]。本文探究无保护助产护理在初产妇自然分娩过程中的应用效果，具体如下。