Abstract:

Abstract： Objective To explore the effect of the multi-functional airbag abdominal pressure belt in midwifery and prevention of postpartum hemorrhage. Methods Select 100 natural delivery cases of the hospitalized primiparae at the hospital, and divide them randomly into two groups. In the observation group, 50 primiparae used the multi-functional airbag abdominal pressure belts during the second and third stages of labor, and in the control group, 50 did not use the belts. Delivery outcomes of the primiparae and their fetus were observed.Results The average duration of the second stage of labor, head emergence to delivery, placenta delivery and postpartum hemorrhage were all shorter in the observation group (P< 0.05). There was no statistical difference in episiotomy rate, maternal signs 2 hours postpartum, neonatal Apgar score or neonatal cord blood gas analysis (P< 0.05). No statistical difference was found in primipara signs and fetal heart rate change of the primiparae under different internal pressures of the airbag during the second labor stage in the observation group (P> 0.05). Conclusion By closely monitoring and appropriately adjusting the internal pressure of the airbag, the multi-functional airbag abdominal pressure belt can speed up the second and third stages of labor, prevent postpartum hemorrhage and promote natural delivery.

Key words: multi-functional airbag abdominal pressure belt, midwifery, third stage of labor, postpartum hemorrhage

摘要：

目的 探讨多功能气囊腹压带在助产和预防产后出血中的作用。方法 选择2014年4至9月在广东省妇幼保健院住院的初产、单胎、足月、头位、胎方位正常阴式分娩产妇100例，随机分为2组，第二、三产程中使用多功能气囊腹压带的50例为观察组，未使用的50例为对照组，观察两组产妇及胎儿的分娩结局。结果 观察组平均第二产程时间、胎头拨露至胎头娩出时间、胎盘娩出时间及产后出血量明显较对照组短(P<0.05)。两组产妇会阴侧切率、产后2 h内体征和新生儿Apgar评分、出生时脐血血气分析结果比较，差异无统计学意义(P>0.05)。并且第二产程中观察组产妇在不同囊内压时的体征及胎心变化差异亦无统计学意义(P>0.05)。 结论 多功能气囊腹压带通过严密监测，适时合理调节囊内压力，可安全加快第二、第三产程进展，预防产后出血，促进自然分娩。

关键词: 多功能气囊腹压带, 助产, 第三产程, 产后出血