分娩镇痛初产妇第二产程指导运用腹压的最佳时机探讨

[摘要] Abstract：Objective To carry out abdominal pressure according to the fetal presentation after cervical in primipara with labor analgesia, and to investigate the it’s potential influence on second stage of labor, perineal trauma and exhaustion, as well as timing of abdominal pressure in second stage of labor. Methods Totally of 267 primipara women undergoing vaginal delivery were divided into the observation group(n=137)and the control group(n=130). The abdominal pressure was carried out at fetal presentation of +3 cm~+4 cm in the observation group and at fetal presentation of less than +3 cm. Results  There was no significant difference in second stage of labor between two groups(P>0.05). The duration of abdominal pressure was shorter in the observation group than that of controls(P<0.01). Primipara women in the observation group had less severity of perineal trauma and postpartum exhaustion compared with those in the control group(P<0.01). Conclusion  Using abdominal pressure according to the fetal presentation after cervical can reduce the duration of abdominal pressure, and to reduce the severity of perineal trauma and postpartum exhaustion in the primipara with labor analgesia.

[学科分类] 护理学

[关键词] 分娩镇痛;胎先露;内旋转;腹压;疲倦感