摘要
目的 了解导乐陪伴经阴道分娩对产程、产后出血及胎儿窘迫的影响.方法 选取2008年1月至2009年8月在北京市海淀区妇幼保健院接受导乐陪伴经阴道分娩的产妇共2 076例,对照组为同期未接受导乐经阴道分娩的产妇共1 386例.专职导乐师经过统一培训考核,根据产妇要求进行导乐陪伴.比较导乐组与对照组在产程、产后出血和胎儿窘迫方面的差异.结果 导乐组第一产程平均为6.12小时、第二产程为1.72小时、总产程平均为7.18小时;导乐组在第一、二产程及总产程的时间较对照组均有所下降,经比较差异有统计学意义（t分别为3.788、10.974、12.246,均P=0.000）.两组产后2小时出血量比较,导乐组（75.97±63.15mL）较对照组（129.53±78.90mL）出血量明显下降,差异有统计学意义（t=-21.110,P=0.000）.导乐组胎儿窘迫发生率为1.06%;对照组胎儿窘迫发生率为3.68%,差异有统计学意义（χ2=28.934,P=0.000）.结论 导乐陪伴分娩可有效地缩短产程、减少产后出血,降低胎儿窘迫率,值得推广和应用.
Objective To explore the impact of doula support on labor stage, postpartum hemorrhage and fetal distress. Methods We conducted a retrospective program evaluation to compare differences in birth outcomes between 2 076 women with doula support （ study group） and 1 386 women without doula support （control group） from January 2008 to August 2009 in Maternal and Child Health Hospital of Haldian District in Beijing. Full-time musicians had accepted unified training and examination, and they carried out doula according to parturient women＇ s requirements. We compared the differences in labor stage, postpartum hemorrhage and fetal distress between two groups. Results In study group the first stage of labor was 6.12 hours, the second stage of labor was 1.72 hours and the total stage of labor was about 7.18 hours. The durations of labor of study group was shorter than those of control group, and the difference were statistically significant （ t = 3. 788,10.974,12. 246 respectively, all P = 0. 000）. The amount of postpartum hemorrhage within 2 hours （75.97 ＋ 63.15 mL） after delivery was less in study group than that in control group （129.53 ~ 78.9mL）, and the difference was statistically significant （t = -21. llO,P =0. 000）. Statistically significant difference in the rate of fetal distress was observed between two groups （1.06% vs 3.68%, A,2 =28. 934,P = 0. 000）. Condusian Doula support is helpful to shorten labor stages, decrease postpartum hemorrhage and reduce fetal distress incidences, and it is worthy of spread and application.
出处
《中国妇幼健康研究》
2011年第3期338-340,共3页
Chinese Journal of Woman and Child Health Research
关键词
导乐
分娩
产程
胎儿窘迫
doula
delivery
labor stage
fetal distress
