自然分娩产妇产程与心理、生理及社会支持的相关性研究

Study on correlation between stages of labor and psychological,physiological,and social supports for parturient women adopting spontaneous labor

目的:探讨心理、生理以及社会支持等因素对自然分娩产程的影响。方法:对平湖市第二人民医院2011年1～10月收治的102例准备自然分娩的产妇进行产前、产时的心理、生理及家属的支持等干预因素;选择同时期的102例准备自然分娩的产妇作为对照组进行常规的护理。观察两组产妇产程中疼痛程度、产程时间、分娩方式、产后出血量指标的变化。结果:观察组自然分娩率及剖宫产率分别为76.47%(78/102)、23.53%(24/102),对照组自然分娩率及剖宫产率分别为55.88%(57/102)、44.12%(45/102),两组比较差异有统计学意义(P<0.05);观察组产妇第一产程疼痛程度≤Ⅰ级产妇60例(58.82%),对照组产妇第一产程疼痛程度≤Ⅰ级产妇30例(29.41%),两组比较有统计学差异(P<0.05);观察组产后出血量与对照组比较明显减少。结论:在产妇自然分娩过程中进行心理、生理以及亲属的支持护理干预,可以明显减少产后出血量,减轻产妇分娩过程中的疼痛程度,缩短产程,降低剖宫产率,有效地促进自然分娩的进行。

Objective：To explore the effects of psychological,physiological,and social supports on stages of labor during spontaneous labor. Methods：One hundred and two parturient women who demanded to adopt spontaneous labor and went to the hospital from January to October in 2011 underwent intervention consisting of psychological,physiological,and household supports during prenatal period and intrapartum period;102 parturient women who demanded to adopt spontaneous labor during the same period were selected as control group,then the women underwent conventional nursing.The degrees of pain during stages of labor,duration times of labor,delivery modes,and the amounts of postpartum hemorrhage in the two groups were observed. Results：The rates of spontaneous labor and cesarean section in observation group were 76.47%（78/102） and 23.53%（24/102）,respectively;the rates of spontaneous labor and cesarean section in control group were 55.88%（57/102） and 44.12%（45/102）,respectively,there was significant difference between the two groups（P0.05）;60 parturient women（58.82%） in observation group were found with degree of pain ≤Ⅰ during the first stage of labor,while 30 parturient women（29.41%） in control group were found with degree of pain ≤Ⅰ during the first stage of labor,there was significant difference between the two groups（P0.05）;compared with control group,the amount of postpartum hemorrhage in observation group decreased significantly. Conclusion：Psychological,physiological,and household supports and nursing intervention during stages of labor among the parturient women adopting spontaneous labor can reduce the amount of postpartum hemorrhage,relieve the degree of pain during stages of labor,shorten stages of labor,reduce cesarean section rate,and promote spontaneous labor effectively.