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Analysis on the application effect and complications of midwifery by low position forceps in obstetric delivery |
SHI Yan |
Department of Gynecology and Obstetrics,Wuxi Second People′s Hospital,Jiangsu Province,Wuxi 214002,China |
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Abstract Objective To analyze the effect and complications of midwifery by low position forceps in the process of obstetric delivery.Methods 89 puerpera with dystocia of cephalic presentation who were admitted to our hospital from March 2014 to October 2016 were selected as the study subjects.According to different modes of midwifery,the patients were divided into the observation group (n=44) and the control group (n=45).Among them,44 puerpera in the observation group were given midwifery pregnancy by low position forceps.45 puerpera in the control group were given maternal cesarean delivery.The incidence of complications such as postpartum hemorrhage,puerperal infection,soft birth canal injury,as well as the occurrence of neonatal facial abrasions,scalp hematoma and neonatal asphyxia in the two groups of puerpera receiving different modes of midwifery were observed and compared.The length of stay and application of antibiotics of puerpera were compared between the two groups.Results The incidence rate of postpartum hemorrhage,puerperal infection and soft birth canal injury after the surgery in the observation group was significantly lower than that in the control group,the differences were statistically significant (P<0.05);compared with the control group,the incidence rate of neonatal facial abrasion,scalp hematoma and neonatal asphyxia was significantly lower in the observation group than in the control group,the differences were statistically significant (P<0.05);compared with the control group,the length of stay in the observation group was significantly shorter than that in the control group,and the proportion of postpartum antibiotics use was significantly lower than that in the control group,the differences were statistically significant (P<0.05).Conclusion Compared with cesarean section,midwifery by low position forceps can effectively reduce maternal and neonatal postpartum complications,improve the effect of maternal and child prognosis,shorten the hospital stay,reduce the use of antibiotics,and improve the safe delivery,which is worthy of clinical popularization and application.
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Received: 19 May 2017
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[1] |
尹维,王建华.阴道产钳助产用于分娩困难产妇的临床价值[J].医学综述,2015,21(6):1134-1135.
|
[2] |
余艳,禄佳玲.低位产钳助产术在阴道分娩中的应用[J].中国现代药物应用,2014,8(11):72.
|
[3] |
王劭敏.低位产钳助产术58例临床分析[J].当代医学,2012,18(21):51-52.
|
[4] |
Foroughipour A,Fimzeh F,Ghahiri A, et al .The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome[J].J Res Med Sci,2011,16(8):1040-1046.
|
[5] |
凌罗达,顾美礼.难产[M].重庆:重庆出版社,2004:245-247.
|
[6] |
Aasheim V,Nilsen AB,Lukasse M, et al .Perineal techniques during the second stage of labour for reducing perineal trauma[J].Cochrane Dmabase Syst Rev,2011,7(12):CD006672.
|
[7] |
王国华,朱虹.低位产钳术临床应用及并发症的分析和评价[J].哈尔滨医科大学学报,2014,48(1):73-76.
|
[8] |
张萍.低位产钳术205例临床分析[J].现代中西医结合杂志,2010,19(2):174-175.
|
[9] |
何云霏.临床应用产钳助产术分娩180例分析[J].吉林医学,2014,35(5):1005-1006.
|
[10] |
孔玲.阴道助产技术与剖宫产率的相关性探讨[J].临床医学,2013,33(2):76-77.
|
[11] |
余平芝,谢穗,江世芳.低位产钳术172例临床分析[J].安徽医学,2012,33(6):714-715.
|
[12] |
田芳.低位产钳助产术在阴道分娩中的应用价值分析[J].当代医学,2016,22(9):77-78.
|
[13] |
董春梅,谢穗,许园园,等.产钳术90例临床分析[J].中国医药导报,2011,8(10):50-51.
|
[14] |
戴宁.改良式低位产钳术联合无保护会阴助产技术用于自然分娩效果分析[J].中国妇幼保健,2015,30(16):2666-2668.
|
[15] |
张文秀.改良式低位产钳术联合无保护会阴助产的临床观察[J].实用妇产科杂志,2014,30(8):625-627.
|
|
|
|