导乐陪伴分娩对初产妇第二产程的影响

The influence of doula delivery on secondly stage of dilivery of primiparae

目的探讨导乐陪伴分娩对初产妇第二产程的影响。方法随机选择506例导乐分娩产妇作为观察组，512例非导乐分娩产妇作为对照组，比较两组产妇的第二产程时间、因宫缩乏力应用缩宫素的比例、产后出血比例和新生儿窒息比例。结果观察组第二产程时间、因宫缩乏力应用缩宫素比例、产后出血比例和新生儿窒息比例分别为（57±21）min、10．2％、0．62％和1．1％，对照组分别为（63±26）min、35．7％、0．74％和2．5％，观察组第二产程时间较短、因宫缩乏力应用缩宫素比例、产后出血比例和新生儿窒息比例均较低，差异具有显著性意义（P〈0．05）。结论导乐分娩促进产程进展，缩短第二产程时间、减少宫缩乏力、产后出血率和新生儿窒息的发生，提高产科质量，是一种值得推广的方法。

Objective To study the influence of Doula delivery on secondly stage of labor of primiparae. Method By random sampling, the case group consisted of 506 primiparaes though Doula delivery, and the control group consisted of 512 primiparaes though routine vagina delivery, and compared two groups primipara＇s duration of secondly stage of delivery, the proportion of using oxytocin for uterine inertia, the proportion of flooding, the proportion of asphyxia neonatorum. Result The duration of secondly stage of delivery, the proportion of using oxytocin for uterine inertia, the proportion of flooding, and the proportion of asphyxia neonatorum of case group was（57 ± 21）min, 10.2%、 0.62% and 1.1% respectively, and that of control group was（63±26）min, 35.7%, 0.74% and 2.5% respectively. The case group had shorter secondly stage of delivery, lower proportion of using oxytocin for uterine inertia, lower proportion of flooding, lower proportion of asphyxia neonatorum, and the differ was significant （P〈0. 05）.Conclusion Doula delivery can promote the progress of delivery stage, shorter the duration of secondly delivery stage, reduce the accidence of uterine inertia, flooding, and asphyxia neonatorum. It can improve the obstetric quality, and it is valuable to extend to all obstetric departments.