Effect of free-body position on the rate and duration of vaginal birth in pregnant women with premature rupture of membranes at term
自由体位待产对足月胎膜早破孕妇阴道分娩率及产程的影响

摘要

目的 探究自由体位待产对足月胎膜早破孕妇产程、阴道分娩率的影响。方法 以2023年1月至2024年1月为研究周期，随机选取我院收治的60例足月胎膜早破孕妇，对照组采取常规体位，观察组采取自由体位待产，对比两组各项分娩指标。结果 观察组第一产程与第二产程用时短于对照组，差异有统计学意义（P<0.05）；观察组自然分娩率高于对照组，阴道助产、中转剖宫产率低于对照组，差异有统计学意义（P<0.05）；观察组并发症发生低于对照组，差异有统计学意义（P<0.05）。结论 使用自由体位待产能够缩短足月胎膜早破产妇的产程用时，提高阴道自然分娩率，且能够降低产妇的并发症发生率。

Abstract

Objective To explore the effects of free position expectant labor on labor and vaginal delivery rate of pregnant women with premature rupture of membranes.
Methods Taking January 2023 to January 2024 as the study period, 60 pregnant women with premature rupture of membranes were randomly selected in our hospital. The control group took conventional position, and the observation group took free position for labor. The delivery indexes of the two groups were compared.
Results The duration of the first and second stages of labor in the observation group was shorter than that in the control group, the difference was statistically significant (P<0.05). The rate of natural delivery in observation group was higher than that in control group, and the rate of vaginal midwifery and cesarean section was lower than that in control group, the difference was statistically significant (P<0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05).
Conclusion   The use of free position can shorten the labor time of women with premature rupture of membrane, increase the rate of natural vaginal delivery, and reduce the incidence of complications.