摘要
目的通过对导乐产妇及非导乐常规生产的产妇进行比较研究,探讨导乐分娩的临床应用效果及有效护理方式。方法应用方便抽样法选取宁波大学医学院附属医院2013年1月—2014年1月产科住院要求自然分娩的单胎初产妇400例,经产妇许可,分为观察组与对照组2组,每组各200例产妇,观察组应用导乐分娩,对照组应用常规方法进行分娩,比较2组产妇产程、产后出血量、新生儿窒息率、胎儿窘迫率、自然产转剖宫产率、产妇对护理的满意度共计六项指标有无差异。结果应用导乐分娩的观察组产妇第一产程(5.27±1.39)h、第二产程(0.49±0.14)h及总产程(7.01±2.15)h较对照组第一产程(7.38±1.62)h、第二产程(1.42±0.31)h及总产程(10.28±2.72)h短,P<0.05,差异有统计学意义。2组第三产程差异无统计学意义(P>0.05)。观察组产妇出血量(139±37)ml较对照组(182±61)ml少,顺转剖率(2.50%)、新生儿窒息率(1.50%)、胎儿窘迫率(0.50%)较对照组顺转剖率(16.00%)、新生儿窒息率(5.50%)、胎儿窘迫率(3.00%)低,对护理的满意度(98%)较对照组满意度(90%)高,2组差异有统计学意义,P<0.05。结论导乐分娩的应用有助于产妇自然产的顺利进行,能够有效缩短产程,减少产后出血,降低自然产转剖率、新生儿窒息率、胎儿窘迫率,提高产妇满意度。导乐分娩的临床推广有积极意义。
Objective To explore the clinical effect of doula delivery and effective nursinig care through a comparative study on the regular production of maternal and doula delivery. Methods The convenient sampling was used to select 400 cases of singleton primiparas requiring natural childbirth in our hospital from January,2013 to January, 2014. They were divided randomly into observation group and control group with 200 cases in each group. The doula delivery was per- formed in the observation group, while the regular production of maternal was performed in the control group. The stage of labor, postpartum bleeding volume, rate of neonatal asphyxia, fetal distress and transferred to cesarean section, and the sat- isfaction degrees of parturients to the nursing care were compared. Results First stage was （5.27 ± 1.39 ） h, second stage was （0.49 ± 0.14）h and total labor of observation groups was （7.01 ± 2.15 ）h, which were shorter than （7.38 ± 1.62） h, （ 1.42 ± 0.31 ） h and （ 10.28 ± 2.72） h of the control group, respectively, the difference was statistically signifi- cant（ P 〈 0.05 ）. The third stage of both groups showed no significant difference （ P 〉 0.05 ）. The bleed volume was （ 139 ± 37 ） ml in the observation group, whch was less than （ 182 ± 61 ） rnl in the control group. The rate of cesarean sec- tion（2.50% ）, neonatal asphyxia（1.50%） and fetal distress （0. 50%） in the observation group were lower than （ 16.00% ）, （5.50%） and （3.00%） in the control group, respectively. The nursing satisfaction （98 % ） was higher in the observation group than （ 90% ） in the control group, the differences were statistically significant, P 〈 0.05. Conclusion Doula delivery can shorten the stage of labor, reduce postpartum bleeding, reduce the rate of cesarean section, neonatal as- phyxia and fetal distress, and improve maternal satisfaction. The clinical doula has a positive meaning.
出处
《中华全科医学》
2015年第7期1191-1194,共4页
Chinese Journal of General Practice
关键词
导乐分娩
临床应用
护理
Doula delivery
Clinical applications
Nursing care
