摘要：目的：比较俯卧位分娩与传统平卧位分娩对母儿结局的影响。方法：前瞻性临床对照研究，111例产妇分为两组，实验组(51例)取俯卧位分娩接产，对照组(60例)取传统平卧位接产，比较两组产程时间、产后出血、新生儿评分和会阴裂伤等母儿结局。结果：俯卧位比平卧位组，第二产程时间短，有更少的会阴侧切(P<0.05)；两组新生儿窒息发生率差异无统计学意义(P>0.05)；俯卧位比平卧位产后出血增多，但仍在生理范围内。结论：俯卧位缩短第二产程，不增加新生儿窒息，降低会阴损伤，是值得推荐应用的分娩体位。

    关键词：手膝俯卧位；平卧位；第二产程

    Abstract：Objective：To compare the delivery outcomes between on-hands-and-knees and supine position. Methods：A total of 111 puerpera were assigned into experiment group (n=51 cases) and control group (n=62 cases). The experiment lied on-hands-and-knees while the control group lied on back during labor. Time of labor process ......