Study on reducing perineal incision rate based on restrictive perineal incision evaluation tool combined with prone flexion delivery
10.3760/cma.j.cn115682-20220324-01404
- VernacularTitle:基于限制性会阴切开评估工具联合俯屈助娩降低会阴切开率的研究
- Author:
Chengfen YANG
1
;
Li QIAN
;
Lingping XUAN
;
Xian LU
;
Wei HUANG
;
Linli HU
Author Information
1. 南京医科大学附属无锡人民医院产科，无锡 214023
- Keywords:
Perineotomy;
Restrictive perineal incision evaluation tool;
Prone flexion delivery method;
Rate of poor perineal wound healing
- From:
Chinese Journal of Modern Nursing
2022;28(33):4686-4691
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of restrictive perineal incision evaluation combined with prone flexion delivery on reducing the perineal incision rate.Methods:The convenient sampling method was used to select 440 primiparas who delivered naturally in Wuxi People's Hospital Affiliated to Nanjing Medical University from June to November 2020 as research objects. According to the random number table method, the primiparas were divided into the observation group and the control group, with 220 cases in each group. The observation group was scored item by item according to the Restrictive Perineotomy Assessment Scale, and the indications of perineotomy were strictly performed according to the final score. The control group judged whether to undergo perineotomy according to subjective experience. The prone flexion delivery was used in both groups and the delivery outcomes of the two groups were compared.Results:The perineal incision rate of the observation group was lower than that of the control group, and the difference was statistically significant ( P<0.01) . The perineal laceration degree of the observation group was less than that of the control group, and the difference was statistically significant ( P< 0.05) . The rate of poor perineal wound healing in the observation group was lower than that in the control group, and the difference was statistically significant ( P<0.05) . The degree of postpartum perineal pain in the observation group was less than that in the control group, and the difference was statistically significant ( P<0.01) . There was no statistically significant difference in the incidence of neonatal asphyxia between the two groups ( P>0.05) . There was no neonatal injury in the two groups. Conclusions:Construction and application of Restrictive Perineotomy Assessment Scale avoid midwives to judge based on subjective experience and improve the accuracy of perineotomy assessment. The combination with prone flexion delivery can further reduce the rate of perineotomy and poor healing rate of postpartum perineal wound and reduce postpartum perineal pain, which is an effective method to improve postpartum perineal outcome and ensure the safety of mother and children.
