无痛分娩技术对自然分娩初产妇分娩结局及泌乳功能的影响

赵玉青; 张文

doi:10.7619/jcmp.201922033

无痛分娩技术对自然分娩初产妇分娩结局及泌乳功能的影响

赵玉青¹,
张文^2,

1.
陕西省榆林市第三医院妇产科, 陕西榆林, 719000
2.
陕西省韩城市妇幼保健院产科, 陕西渭南, 715400

详细信息

通讯作者:
张文

中图分类号: R714
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- 文章访问数: 215
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出版历程
- 收稿日期: 2019-08-12
- 录用日期: 2019-10-10
- 网络出版日期: 2021-02-28
- 发布日期: 2019-11-27

Effect of painless delivery technology on delivery outcome and lactation function of primiparas with natural delivery

ZHAO Yuqing¹,
ZHANG Wen^2,

1.
Department of Gynecology and Obstetrics, The Third Hospital of Yulin, Yulin, Shaanxi, 719000
2.
Department of Obstetrics, Hancheng Maternal and Child Health Care Hospital, Weinan, Shaanxi, 715400

摘要

摘要:
目的探讨无痛分娩技术对自然分娩初产妇分娩结局及泌乳功能的影响。
方法选取自然分娩初产妇90例, 随机分为常规组(n=45)与研究组(n=45)。常规组采用传统自然分娩，研究组采用无痛分娩技术，比较2组产程时间、产后出血量、新生儿Apgar评分及产妇泌乳功能相关指标。
结果研究组第一产程时间、第二产程时间、总产程时间及产后2 h出血量均显著优于常规组(P＜0.05); 2组新生儿1、5 min Apgar评分比较，差异均无统计学意义(P>0.05); 研究组产后30 min、24 h血清泌乳素水平显著高于常规组，初次泌乳时间显著早于常规组，产后24 h内泌乳次数显著多于常规组(P＜0.05)。
结论无痛分娩技术可有效缩短产程时间，减少产后出血量，改善产后泌乳功能。
- 无痛分娩技术 /
- 自然分娩 /
- 初产妇 /
- 分娩结局 /
- 泌乳功能
Abstract:
Objective To explore the effect of painless delivery technology on delivery outcome and lactation function of primiparas with natural delivery.
Methods A total of 90 primiparas with natural delivery were selected and randomly divided into routine group (n=45) and research group (n=45). The routine group was conducted with traditional natural delivery, while the research group was conducted with painless delivery technology. The duration of labor, the amount of postpartum hemorrhage, the Apgar score of newborn and the related indexes of lactation were compared between the two groups.
Results The time of first stage of labor, the time of second stage of labor, the total time of labor and the amount of postpartum hemorrhage in the research group were significantly better than those in the routine group (P < 0.05), but there was no significant difference in Apgar scores at 1, 5 min between the two groups (P>0.05). The levels of serum prolactin in the research group were significantly higher than those in the control group at 30 min and 24 h after delivery, the time of first lactation was significantly earlier than that in the control group, and the number of lactation in the 24 h after delivery was significantly more than that in the control group (P < 0.05).
Conclusion Painless delivery technology can effectively shorten the duration of labor, reduce the amount of postpartum hemorrhage, and improve the function of postpartum lactation.
- painless delivery technology /
- natural delivery /
- primiparas /
- delivery outcome /
- lactation function

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表 1 2组产程时间、产后出血量及新生儿Apgar评分比较(x±s)

组别	n	产程时间				产后2 h出血量/mL	新生儿Apgar评分/分
组别	n	第一产程/h	第二产程/h	第三产程/min	总产程/h	产后2 h出血量/mL	1 min	5 min
常规组	45	11.38±1.27	1.23±0.28	8.70±1.25	11.62±1.38	113.57±20.62	8.98±0.48	9.42±0.39
研究组	45	9.73±1.06^*	0.95±0.17^*	8.52±1.14	10.71±1.23^*	90.48±17.35^*	9.03±0.51	9.51±0.35
与常规组比较, *P＜0.05。

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表 2 2组产后血清泌乳素水平、泌乳活动时间及产后24 h哺乳次数比较(x±s)

组别	n	血清泌乳素/(ng/mL)			初次泌乳时间/h	产后24 h泌乳次数/次
组别	n	分娩前	产后30 min	产后24 h	初次泌乳时间/h	产后24 h泌乳次数/次
常规组	45	190.25±35.60	237.18±41.52	291.35±47.29	11.30±2.38	2.75±0.44
研究组	45	188.74±40.29	270.61±48.93^*	324.75±50.14^*	8.74±1.73^*	3.48±0.67^*
与常规组比较, *P＜0.05。

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无痛分娩技术对自然分娩初产妇分娩结局及泌乳功能的影响

通讯作者: 张文

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Effect of painless delivery technology on delivery outcome and lactation function of primiparas with natural delivery

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通讯作者:
张文