探讨胎头娩出后自然娩肩法接生对产伤和新生儿窒息的影响

Study on the Effect of the NaturalShoulder-Shoulder Method on theBirth and the Neonatal Asphyxiaafter the Birth of the Fetal Head

摘要: 目的：探讨胎头娩出后自然娩肩法接生对产伤和新生儿窒息的影响。方法：选择本院产科收治的146例产妇为研究样本，以双盲法随机分为参照组和干预组各73例，参照组胎头娩出后采取常规娩肩法接生，干预组胎头娩出后采取自然娩肩法接生。观察比较两组产妇产伤情况和新生儿结局。结果：干预组肩难产率、会阴裂伤率、新生儿产伤率、新生儿阿氏评分、胎头娩出到胎儿前肩娩出时间均低于参照组，P < 0.05。结论：胎头娩出后采取自然娩肩法能预防产妇肩难产和新生儿产伤，并不会导致新生儿窒息的风险增加，值得临床应用。

Abstract: Objective: To explore the effect of natural delivery of fetal head on birth injury and neonatal asphyxia. Methods: 146 women who were admitted to our hospital for obstetrics were selected as research samples. With double blind method, they are randomly divided into the control group and intervention group by each 73 cases. The control group took the normal shoulder delivery method after delivery of the fetal head. The intervention group took the natural deliser shoulder method after delivery of the fetal head. The maternal injuries and neonatal outcomes were observed and compared between the two groups. Results: In the intervention group, the rate of shoulder dystocia, perineal laceration, neonatal injury rate, neonatal Apgar score, fetal head delivery to fetal anterior shoulder delivery time were all lower than the reference group, P < 0.05. Conclusion: The use of natural shoulder delivery after delivery of the fetal head can prevent the parturient shoulder dystocia and neonatal injury, and will not lead to increased risk of neonatal asphyxia, worthy of clinical application.