拆台式助产联合母婴接触对初产妇分娩结局的影响
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女,硕士在读,护师

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The effect of frontal birth assistance techniques and mother-infant skin-to-skin contact on delivery outcomes in primipara
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    目的 改善初产妇分娩体验与结局。方法 将单胎足月自然分娩的80例初产妇随机分为两组各40例。对照组采取助产士右 侧站立助产及母婴接触30min的常规法;干预组采取拆台、助产士对面站立助产及母婴接触90min的联合法。结果 两组新生儿 评分、转入新生儿重症监护室率比较,差异无统计学意义(均 P>0.05);干预组新生儿觅食、含接及吸吮开始时间显著早于对照 组,产妇会阴裂伤程度及产后2h出血量显著低于对照组(P<0.05,P<0.01)。结论 拆台式助产联合母婴接触法安全,可促进 新生儿早吸吮,减轻产妇会阴裂伤程度及产后出血量。

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    Objective To improve childbearing experience and outcome in primipara. Methods Eighty women with a single baby in vertex presentation, and delivering between 38 and 40 weeks of pregnancy were randomly divided into two groups, with 40 in each group. The control group was given routine management during labor and delivery that the midwife assisted the birth at the right side of the parturient woman and provided 30-min mother-infant skin-to-skin contact after the childbirth, while the intervention group employed frontal birth assistance techniques that the labor bed was dismantled and the midwife assisted the birth standing on the opposite side of the woman, then 90-min mother-infant skin-to-skin contact was performed after the childbirth. Results There were no significant differences in Apgar score and the incidence rate of newborns transferred to the neonatal intensive care unit between the two groups (P>0.05 for both). The intervention group showed earlier start time to seeking, latching and sucking in the newborns, as well as milder perineal laceration and less 2 h postpartum hemorrhage in the puerpera compared with the control group (P<0.05, P<0.01). Conclusion Frontal birth assistance techniques and mother-infant skin-to-skin contact are safe for practice, which promote early sucking of the newborns, alleviate perineal laceration and reduce postpartum hemorrhage in parturient women.

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郭思彤,马艳梅,马佳,卢静,刘静.拆台式助产联合母婴接触对初产妇分娩结局的影响[J].护理学杂志,2019,34(22):13-15

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  • 收稿日期:2019-05-07
  • 最后修改日期:2019-07-08
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  • 在线发布日期: 2022-08-09