摘要
目的:观察温馨陪伴助产服务在无痛分娩足月单胎头位产妇中的应用效果。方法:回顾性分析2020年6月至2021年7月该院收治的102例行无痛分娩产妇的临床资料,根据入院先后顺序将其分为对照组与观察组各51例,对照组采取常规助产服务,观察组在对照组基础上采取温馨陪伴助产服务,比较两组分娩方式、新生儿Apgar评分、产程时间、干预前后负性情绪[状态-特质焦虑问卷(STAI)、流调用中心抑郁量表(CES-D)]评分。结果:两组阴道助产率、新生儿Apgar评分比较,差异均无统计学意义(P>0.05);观察组自然分娩率高于对照组,剖宫产率低于对照组,差异均有统计学意义(P<0.05);观察组第一、二、三产程时间及总产程时间均短于对照组,差异有统计学意义(P<0.05);入产室时、分娩结束后,观察组STAI、CES-D评分均低于对照组,差异有统计学意义(P<0.05)。结论:在常规助产服务基础上采取温馨陪伴助产服可提高无痛分娩足月单胎头位产妇自然分娩率,缩短产程时间,降低剖宫产率和负性情绪评分,其效果优于单纯常规助产服务。
Objective: To observe application effects of warm accompanying midwifery service in painless delivery of parturients with single full-term and head position fetus. Methods: The clinical data of 102 parturients undergoing painless labor admitted to this hospital from June 2020 to July 2021 were retrospectively analyzed. According to the order of admission, they were divided into control group and observation group,51 cases in each. The control group received routine midwifery service, while the observation group received warm accompanying midwifery service on the basis of that of the control group. The delivery mode, the neonatal Apgar score, the labor time, the negative emotion score [state-trait anxiety inventory(STAI), and the center for epidemiologic studies depression(CES-D)] score were compared between the two groups. Results: There were no significant differences in the vaginal midwifery rate and the neonatal Apgar score between the two groups(P>0.05). The natural delivery rate of the observation group was higher than that of the control group, the cesarean section rate was lower than that of the control group, and the differences were statistically significant(P<0.05). The first, second and third stages of labor and the total labor time in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). Further, at entering the delivery room and after delivery, the STAI and the CES-D scores of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). Conclusions: On the basis of the routine midwifery service, the warm accompanying midwifery service can improve the natural delivery rate, shorten the labor time, reduce the cesarean section rate and the negative emotion score of the parturients with single full-term and head position fetus. Moreover, it is superior to single routine midwifery service.
作者
和莹
HE Ying(1^(st) Obstetrics Ward of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2023年第4期177-179,183,共4页
Medical Journal of Chinese People’s Health
关键词
温馨陪伴助产服务
无痛分娩
产妇
单胎
足月
产程
负性情绪
Warm accompanying midwifery service
Painless childbirth
Parturient
Single fetus
Full term
Labor process
Negative emotion
