摘要目的 探讨无保护会阴接生法联合自由体位在自然分娩产妇中的运用效果。方法 选取2021年2月—2022年10月于本院进行自然分娩的90例产妇,按奇偶数字法分为2组,各45例。2组均采取常规围产期分娩护理,对照组给予传统接生法联合膀胱截石位分娩,观察组无保护会阴接生法联合自由体位分娩。对比2组会阴裂伤程度、会阴疼痛、第二产程时间、自我效能感、性生活质量、产妇满意度及会阴侧切率。结果 观察组使用视觉模拟评分量表(Visual Analog Scale,VAS)会阴疼痛评分为(2.06±0.87)分,对照组为(4.80±1.33)分,差异有统计学意义(t=11.565,P<0.05)。分娩前2组自我效能比较,差异无统计学意义(P ＞0.05);出院时观察组简化中文版分娩自我效能量表(The Short Form of the Chinese Childbirth Self-Efficacy Inventory,CBSEI-C32)中的OE-16、EE-16分量表评分为(132.70±11.19)分、(141.82±9.38)分,对照组为(118.13±10.38)分、(125.33±8.27)分 ,差异有统计学意义(t=6.404、8.456,P均<0.05)。随访3个月,观察组女性性功能指数(Female Sexual Function Index,FSFI)中性满意度评分为(4.01±0.72)分,对照组为(3.20±0.55)分,差异有统计学意义(t=5.997,P<0.05)。结论 无保护会阴接生法联合自由体位能减轻自然分娩产妇会阴裂伤与疼痛程度,提高产妇自我效能感,加快产程及产后康复,产妇满意度更高。
Abstract：Objective To explore the application effect of unprotected perineal delivery combined with free position in natural childbirth women. Methods A total of 90 women who had spontaneous delivery in our hospital from February 2021 to October 2022 were enrolled and divided into two groups of 45 cases in each group according to the odd-even number method. Both groups were given routine perinatal delivery nursing, the control group was given traditional birth combined with bladder lithotomy, and the observation group received unprotected perineal delivery combined with free position. The two groups were compared with perineal laceration degree, perineal pain, time to the second stage of labour, self-efficacy, quality of sexual life, maternal satisfaction, and episiotomy rate. Results By using a visual analog scale (VAS), the perineal pain score was (2.06±0.87) in the observation group and (4.80±1.33) in the control group, and the difference between the two groups was statistically significant (t=11.565, P<0.05). There was no statistically significant difference in self-efficacy between the two groups before delivery (P>0.05); at discharge, the OE-16 and EE-16 subscales in the simplified Chinese version of the Short Form of the Chinese Childbirth Self Efficacy Inventory (CBSEI-C32) were scored (132.70±11.19) and (141.82±9.38) in the observation group, and (118.13±10.38) and (125.33±8.27) in the control group respectively, with statistically significant differences between the two groups (t=6.404, 8.456, both P<0.05). After 3 months of follow-up, the neutral satisfaction score of female sexual function index (FSFI) in the observation group was (4.01±0.72) and that in the control group was (3.20±0.55), the difference between the two groups was statistically significant (t=5.997, P<0.05). Conclusion The combination of unprotected perineal delivery method and free position can reduce the degree of perineal laceration and pain in natural childbirth women, improve their self-efficacy, accelerate the delivery process and postpartum recovery, and increase maternal satisfaction.
朱新如. 无保护会阴接生法联合自由体位对产妇自然分娩的影响[J]. 中国校医, 2023, 37(12): 932-934,944.
ZHU Xinru. Effects of unprotected perineal delivery combined with a free position on natural maternal delivery. Chinese Journal of School Doctor, 2023, 37(12): 932-934,944.
2023, Vol. 37 
