孕产期营养控制结合拉玛泽减痛分娩法降低剖宫产的疗效评价(1)
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[摘要] 目的 探讨营养控制结合拉玛泽减痛分娩法对剖宫产率的影响。 方法 采用随机抽样的原则抽取2010年5月～2011年8月在本院建卡、住院分娩的初产妇240例，分为观察组120例，产前通过营养指导，使孕妇孕期体质量增加控制在正常范围内，并给予产科常规护理，运用拉玛泽减痛分娩法按常规实行一对一陪伴分娩；对照组120例，给予产科常规护理，同样运用拉玛泽减痛分娩法按常规实行一对一陪伴分娩在产时实施护理干预。对比两组产妇的剖宫产率。 结果 观察组的剖宫产率明显低于对照组。二者差异有统计学意义(P < 0.05)。 结论 孕产期营养控制结合拉玛泽减痛分娩法可有效降产妇剖宫产率。
[关键词] 营养状况；拉玛泽减痛法；剖宫产率；孕产期
[中图分类号] R714 [文献标识码] A [文章编号] 1674-4721(2012)02(c)-0041-02
Evaluation of efficacy on maternal nutrition control combined with Lamaze pain relieving delivery in reducing cesarean section rate
ZOU Lianying FU Xuefang LV Pei
Department of Obstetrics and Gynecology, Dongcheng Hospital of Dongguan City in Guangdong Province, Dongguan 523007, China
[Abstract] Objective To discuss the impact of maternal nutrition control combined with Lamaze pain relieving delivery in reducing cesarean section rate. Methods Two hundred and forty cases of primiparas building cards and hospitalized in our hospital from May 2010 to August 2011 were chosen by taking random sampling principles. 120 cases of observation group were given prenatal nutrition guidance, making the body weight gain of pregnant women in the normal level, and given the conventional obstetric nursing care, and the Lamaze pain relieving delivery was taken to carry out nursing intervention at birth according to routine implementation of one-to-one accompany delivery; 120 cases of the control group were given conventional obstetric nursing care, also taking Lamaze pain relieving delivery to carry out nursing intervention at birth according to routine implementation of one-to-one accompany delivery. The cesarean section rates of the two groups were compared. Results The cesarean section rate of the observation group was significantly lower than the control group. The difference was statistically significant (P < 0.05). Conclusion Maternal nutrition control combined with Lamaze pain relieving delivery can reduce the maternal cesarean section rate effectively.
[Key words] Nutritional status; Lamaze pain relieving delivery; Cesarean section rate; Pregnant and puerperal period
由于传统的分娩方式中存在不可避免的痛苦，导致部分产妇感到恐惧与忧虑，丧失了自然分娩的信心，也成为剖宫产率逐年上升的主要原因之一[1] ......
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