首頁資訊自然分娩與剖宮產(chǎn)分娩對(duì)產(chǎn)婦產(chǎn)后生理及心理影響的比較

自然分娩與剖宮產(chǎn)分娩對(duì)產(chǎn)婦產(chǎn)后生理及心理影響的比較

來源：泰然健康網(wǎng) 時(shí)間：2024年11月28日 11:49

目的

探討自然分娩與剖宮產(chǎn)分娩對(duì)產(chǎn)婦生理和心理影響的差異。

方法

選擇2013年2月至2014年2月在四川省涼山州第二人民醫(yī)院婦產(chǎn)科分娩的324例孕婦為研究對(duì)象。按照分娩方式的不同，將其分別納入自然分娩組(n＝126)與剖宮產(chǎn)組(n＝198)。對(duì)兩組產(chǎn)婦的產(chǎn)后疼痛評(píng)分、產(chǎn)后恢復(fù)情況(肛門排氣時(shí)間、腹脹、厭食、便秘、惡心及嘔吐；陰道流血時(shí)間；產(chǎn)后第1，2，3天平均體溫)、產(chǎn)后情緒及產(chǎn)后泌乳情況進(jìn)行統(tǒng)計(jì)學(xué)分析。本研究遵循的程序符合四川省涼山州第二人民醫(yī)院人體試驗(yàn)委員會(huì)制定的倫理學(xué)標(biāo)準(zhǔn)，得到該委員會(huì)批準(zhǔn)，分組征得受試對(duì)象的知情同意，并與之簽署臨床研究知情同意書。兩組孕婦年齡、孕齡、分娩前體質(zhì)量、身高、高中以上文化比例、城鄉(xiāng)戶口比例、定期產(chǎn)前檢查比例、腹部手術(shù)史比例等一般臨床資料比較，差異均無統(tǒng)計(jì)學(xué)意義(P>0.05)。

結(jié)果

①自然分娩組產(chǎn)婦產(chǎn)后在同一時(shí)間點(diǎn)的疼痛評(píng)分顯著低于剖宮產(chǎn)組，并且差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)。②自然分娩組產(chǎn)婦肛門排氣時(shí)間較剖宮產(chǎn)組早，并且自然分娩組產(chǎn)婦產(chǎn)后腹脹、厭食及陰道流血時(shí)間>1周發(fā)生率低于剖宮產(chǎn)組，差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)。自然分娩組產(chǎn)后第1，2天體溫均低于剖宮產(chǎn)組，并且差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)。③自然分娩組產(chǎn)婦產(chǎn)后情緒良好者所占比例高于剖宮產(chǎn)組，并且差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)。④自然分娩組產(chǎn)婦產(chǎn)后開始泌乳時(shí)間早于剖宮產(chǎn)組，并且差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。

結(jié)論

自然分娩能減輕創(chuàng)傷，促進(jìn)乳汁分泌和產(chǎn)后恢復(fù)。

Objective

To investigate physiological and psychological effects of natural childbirth and cesarean section on puerpera.

Methods

A total of 324 cases who were delivered at Second People's Hospital of Liangshan Yi Autonomous Prefecture from February 2013 to February 2014 were included into this study. According to different delivery approaches, they were divided into natural childbirth group (n=126) and cesarean section group (n=198). The following items were observed: postpartum pain scores, recovery of postpartum function(anal exhaust time, incidence rate of abdominal distension, anorexia, >1 week vaginal bleeding time, temperature), maternal mood and lactation. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Second People's Hospital of Liangshan Yi Autonomous Prefecture. Informed consent was obtained from the parents of each patient. There were no significant differences between two groups in the aspects of age, gestational age, weight etc..

Results

①There were significant differences between two groups in pain scores at different time points (P<0.05). ②The anal exhaust time in natural childbirth group was earlier than that in cesarean section group, and incidence rate of abdominal distension, anorexia, >1 week vaginal bleeding time in natural childbirth group were lower than those in cesarean section group with significant differences (P<0.05). The temperature at 1 st, 2 nd day after delivery in natural childbirth group were lower than those in cesarean section group (P<0.05). ③ The proportion of puerpera with good emotion in natural childbirth group was higher than that in cesarean section group (P<0.05). ④ The initial time of lactation in natural childbirth group was earlier than that in cesarean section group (P<0.05).

Conclusions

Natural childbirth could reduce trauma and promote lactation and postpartum recovery.

表1 兩組孕婦產(chǎn)后疼痛評(píng)分(分，±s)

Table 1 Comparison of the postpartum pain scores between two groups (socre，±s)

表2 兩組產(chǎn)婦產(chǎn)后恢復(fù)情況比較[例數(shù)(%)]

Table 2 Comparison of the recovery situation between two groups [case (%)]

表3 兩組產(chǎn)婦產(chǎn)后體溫比較(℃，±s)

Table 3 Comparison of the temperature after the delivery between two groups (℃，±s)

表4 兩組產(chǎn)婦產(chǎn)后情緒比較[例數(shù)(%)]

Table 4 Comparison of the postpartum emotion between two groups [case (%)]

表5 兩組產(chǎn)婦產(chǎn)后泌乳情況[例數(shù)(%)]

Table 5 Comparison of postpartum lactating situation between two groups [case (%)]

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