Objective To find a suitable management method for intrapartum intake by comparing different energy intake patterns during the labor process .Methods A total of 180 primary maternal women who had given birth in term of full-term birth in August 2017-2018 were randomly divided into three groups (60 in each group). The first group was taken as an oral group (Oral intake of "Mom Meets Baby"delivery energy package) ,the sec-ond group was intravenous group(intravenous drip alternately supplements saline and 5% glucose) ,and the third group was the control group (without oral rehydration and intravenous rehydration ).We compared the duration of three groups of women in the second stage of labor and the third stage of labor ,prenatal and postpartum serum so-dium ,prenatal and postnatal urine ketone ,with or without vomiting ,postpartum hemorrhage ,neonatal scores and other differences .Results In term of the second stage and the third stage of of labor ,the duration in the oral group is the shortest among three group .Then ,the intravenous group takes a little longer time .And the duration of the control group is the longest .The result shows significant differences among the three groups (P＜0 .05). The intravenous and oral groups had less amount of postpartum hemorrhage than the control group (P＜0 .05). There was no difference in the amount of postpartum hemorrhage between these two groups (P＞0 .05).Post-partum urine ketone was less in the intravenous and oral groups than in the control group (P＜0 .05).And there was no difference in postpartum urine ketone between the two groups .(P＞0 .05).However ,there was no sig-nificant difference in postpartum serum sodium ,vomiting and neonatal Apgar scores among the three groups (P＞0 .05).Conclusion The oral intake of ＂Mom Meets Baby＂delivery energy package is more effective than the in-travenous infusion in enhancing the force of labor ,promoting the stage of labor ,and being more convenient to use.%目的 通过对产程中不同能量摄入方式的比较来寻求一种适宜的产时入量管理方法.方法 将我院于2017年8月至2018年2月期间足月头位顺产的初产妇共180例作为研究对象,分为3组(每组60例) :口服组(口服"美孕嘉宝"分娩能量包) ,静脉组(静脉交替补充0.9% 氯化钠注射液和5% 葡萄糖注射液) ,对照组(不口服也不补液).比较3组产妇在第二产程时间、第三产程、产前产后血钠、产前产后尿酮、有无呕吐、产后出血量、新生儿评分等方面有无差异.结果 3组中口服组第二产程时间及第三产程时间最短,静脉组用时稍长,而对照组用时最长,3组比较差异有统计学意义(P＜0 .05),静脉组及口服组产后出血量均较对照组少(P＜0 . 05) ,2组间产后出血量差异无统计学意义(P＞0 .05) ,静脉组及口服组产后尿酮较对照组少(P＜0 .05) ,2组间产后尿酮差异无统计学意义(P＞0.05) ,但在产后血钠及呕吐、新生儿评分等方面3组差异无统计学意义(P＞0 .05) .结论 口服"美孕嘉宝"分娩能量包补充能量较静脉输液对增强产力,促进产程作用更明显,使用更方便.
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