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在围产中心与自然分娩方法相关的出生结果:一个比较的回顾性研究
Raneen Abu Shqara1,2, Gabriela Goldinfeld2, Roni Tenne Cohen1
1Raya Strauss Wing of Obstetrics and Gynecology Galilee Medical Center, Galilee Medical Center, Nahariya, Israel.
The journal of obstetrics and gynaecology research
|April 15, 2024
概括
医院的自然分娩设置增加了阴道分娩率和立即母乳养,同时减少了剖腹产和产后疼痛. 这些环境为低风险怀孕提供了积极的分娩体验.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖健康 生殖健康
背景情况:
- 在医院中,越来越多地为那些偏好最小的医疗干预的妇女提供自然,类似家庭分娩的设置.
- 这些设置旨在提供更舒适,更少侵入性的分娩体验.
研究的目的:
- 为了比较选择自然分娩设置和传统分娩病房的妇女之间的产科和新生儿结果.
- 评估自然分娩环境对干预率和母婴结局的影响.
主要方法:
- 对2020年3月至2022年12月期间按期分娩的低风险妇女的回顾性研究.
- 在自然分娩环境中对124名女性进行比较,而在传统环境中对244名女性进行比较.
主要成果:
- 在自然分娩组中没有剖腹产,而在常规分娩组中为7.4% (p=0.004).
- 开始母乳养的比率更高 (71.3%对12.3%,p<0.001),住院时间更短.
- 在自然分娩组中,产后发烧,产后出血和子宫的使用率相似;在自然分娩组中使用较低的止痛药.
结论:
- 医院自然分娩设置与更高的阴道分娩的可能性有关.
- 这些设置有助于增加即时和分娩母乳养,并减少产后疼痛.
- 一小部分 (11.5%) 的女性最初在自然环境中需要转移到传统护理.
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