现代妇产科进展2016，Vol.25Issue(8)：600-602,607,4.DOI:10.13283/j.cnki.xdfckjz.2016.08.011
无医疗干预初产妇自然分娩的妊娠结局分析
The natural delivery outcome of primipara without interventions
孙梅玲 1贺梦雅 1马玉燕1
作者信息
- 1. 山东大学齐鲁医院妇产科，济南 250012
- 折叠
摘要
Abstract
Objective:To explore the natural delivery outcome of primipara without medical interventions. Methods:3000 primipara who had delivery in Qilu Hospital of Shandong University from Jan. 2013 to Dec. 2014 were divided into two groups according to the delivery approach:observing group,1500 cases without medical intervention, who had free activities, food,rest in the first labor stage and independent labor force,free position without perineal pro-tection delivery,waiting for shouders natural delivery in the second stage and delayed umbilical cord clamping after pulsation loss,natural delivery of placenta in the third stage;other 1500 ca-ses with different medical interventions were taken as control group. Mode of delivery and preg-nancy outcomes were compared between the two groups. Results:The natural delivery rate,in-tact perineum rate and apgar score at the 1 st min after birth were higher in the observing group than that in the control group. The episiotomy rate,perineal second degree laceration rate,cesar-ean section rate,postpartum bleeding,amniotic fluid pollution rate in the observing group were lower than that in control group(P<0. 05). There were no significant differences in gestational weeks,total labor stage,amnitic fluid volume,neonatal weight and the number of newborn trans-ferred to NICU between the two group(P>0. 05). Conclusions:For low-risk primipara,we can gain better outcome of pregnancy by reducing medical intervention and promoting natural deliv-ery.关键词
无医疗干预/初产妇/自然分娩/妊娠结局Key words
No medical intervation/Primipara/Natural delivery/Pregnancy outcome分类
医药卫生引用本文复制引用
孙梅玲,贺梦雅,马玉燕..无医疗干预初产妇自然分娩的妊娠结局分析[J].现代妇产科进展,2016,25(8):600-602,607,4.
