早吸吮早接触在产后胎盘剥离及出血护理中的应用研究
Application of early sucking and contact in the postpartum placental stripping and bleeding nursing
-
摘要: 目的 探讨早吸吮早接触在产后胎盘剥离及出血护理中的应用效果.方法 选取本院自然分娩的产妇100例,按随机数字表法将其分成实验1组和实验2组,并选取同时期接受胎盘剥离及出血护理的50例产妇作为对照组.实验1组于出生5~ 10 min开始进行母婴早接触早吸吮,实验2组于出生10~ 20 min时开始进行母婴早接触早吸吮,对照组不实行早接触、早吸吮,统计3组胎盘娩出情况、出血情况以及子宫复旧情况.结果 实验1组、2组胎盘15 min娩出率高于对照组(P<0.05);实验1组产后出血发生率显著低于实验2组和对照组(P<0.05);实验1组、2组产后24 h子宫复旧情况优于对照组,差异均有统计学意义(P<0.05).结论 早吸吮早接触能够促进胎盘娩出,减少产后出血,促进子宫复旧,值得临床进一步应用推广.Abstract: Objective To study application of early sucking and contact in the postpartum placental stripping and bleeding nursing.Methods A total of 100 puerperae in our hospital with natural childbirth were divided into experimental 1 group and experimental 2 group according to random number table method,and another 50 puerperae with placental stripping and bleeding nursing were as control group.Early sucking and contact was applied in the experimental 1 group in 5 ~ 10 min after born and 10 ~20 min for experimental 2 group,and the control group didn't applied above measures.Placental stripping,bleeding and uterine instauration of two groups were compared.Results Placental expulsion rates within 15 min in experiment 1 group and 2 group were higher than the control group (P < 0.05);The incidence of postpartum hemorrhage in experimental 1 group was significantly lower than the experimental 2group and control group (P < 0.05);Experimental 1 and 2 groups had better 24 h postpartum uterine instauration (P < 0.05).Conclusion Early sucking and mother-infant touch can promote placental expulsion,reduce postpartum hemorrhage,promote uterine instauration,so it is worthy of further clinical application and promotion.