摘要
Abstract
Objective To compare the effect of unprotected perineum delivery technique and episiotomy delivery tech-nique on outcomes of delivery and the perineal wound. Methods A prospective follow-up study of 265 women with spontaneous vaginal delivery in thehospital from January to November 2013. These women were randomized into the unprotected perineum deliv-ery group(184)and the control group(81),that is routine episiotomy delivery technique group. The time of second stage of labor, newborns conditions,the blood loss,perineal pain and woundhealing stage in the two groups were compared. Results No signifi-cant difference among the pariae’s age,newborn weight,the second stage time,the scores of APCAR and the postpartum blood loss was found between groups. Women who delivered with unprotected perineum delivery techniquehad significantly lower perineal pain scores compared to women whohad an episiotomy technique. The perineal woundhealing stage in the unprotected perineum delivery technique group was better than the control group. Conclusion The unprotected perineum delivery technique can lower the level of perineal pain and decrease the degree of the wound swelling,improve the woundhealing stage,meanwhile,not to increase the time of the second stage of labor and neonatal asphyxia. This technique is simple,safe,effective,beneficial to the protection of maternal safety,and to reduce the perineal body injury. It is worthy of clinical application.关键词
无保护会阴接生法/会阴侧切/会阴裂伤Key words
unprotected perineum delivery technique/episiotomy/perineal laceration分类
医药卫生
