摘要
目的 探讨改变产科服务方式、开展陪伴分娩对母婴健康的影响。方法 对 2 0 0例陪伴分娩孕妇与陪伴分娩孕妇传统模式分娩孕妇的各项指标进行对比。结果 陪伴组与对照组总产程分别为 (381.2± 14 5 .6 )、(4 2 1.6± 12 1.5 )min(P <0 .0 1) ;剖宫产率为 12 %及 2 9% (P <0 .0 5 ) ;自然分娩率为 82 %及 6 4 % (P <0 .0 5 ) ;侧切率为 2 8%及 72 % (P <0 .0 5 ) ;因宫缩乏力使用催产素为 18%及 30 % (P <0 .0 5 ) ;产后出血为 (16 5 .3± 39.3)及(179.3± 4 8.1)ml(P <0 .0 1) ;胎儿窘迫率为 14 %及 2 7% (P <0 .0 5 ) ;新生儿窒息率为 3%及 6 .5 % (P <0 .0 5 ) ;新生儿吸入性肺炎为 1.5 %及 2 % (P >0 .0 5 )。结论 改变产科服务方式 ,开展陪伴分娩是一种以产妇为中心的服务模式 ,有利于提高产时服务质量 。
Objective To assess the influence of company delivery on mother and baby through changing the mode of obstetrical service and developing delivery with company.Methods To compare the 200 gravida with company and 200 gravida with traditional mode.Results The delivery with company and traditional mode costs 381.2±145.6、421.6± 121.5 minutes respectively,it is different obviously ( P <0.01);The caesarean birth rate is 12% and 29% respectively ( P <0.05);The rate of natural delivery is 82% and 64% respectively ( P <0.05);The side cut rate is 28% and 72% respectively ( P <0.05);The use of pitocin is 18% and 30% respectively( P <0.05);The post delivery bleeding volume is (165.3±39.3)ml and (179.3±48.1)ml respectively ( P <0.01);The neonate asphyxia rate is 14% and 27% respectively( P <0.05);The rate of suffocation is 3% and 6.5% respectively( P <0.05);The rate of aspirative pneumonia of baby is 1.5% and 2% respectively ( P >0.05).Conclusions Changing the mode of obstetrical service and developing company delivery is a service mode around the puerpera,it is more beneficial to improve the quality of delivery service and to promote the health of mothers and children.
出处
《北京医学》
CAS
北大核心
2003年第5期323-325,共3页
Beijing Medical Journal
