“一对一”全程助产陪伴分娩520例效果分析

Midwifery Throughout Accompany Childbirth 520 Cases and Evaluation of Results

目的观察"一对一"全程助产陪伴分娩的临床效果。方法选择520例在责任助产士"一对一"全程陪伴分娩的初产妇(观察组),另选择520例用传统方式分娩的初产妇(对照组)。观察并比较两组产妇产程、剖宫产率及产后出血、胎儿窘迫、新生儿窒息发生率及产妇满意度。结果观察组经阴道分娩的产妇第一产程及第二产程与对照组比较,差异均有统计学意义(P<0.01);剖宫产率及产后出血、胎儿窘迫、新生儿窒息发生率与对照组比较,差异均有统计学意义(P<0.01);产妇满意度与对照组比较,差异有统计学意义(P<0.01)。结论"一对一"全程陪伴分娩能缩短产程,降低剖宫产率,提高产科服务质量。

Objective To observe clinical effect of the whole purpose of midwifery accompany of childbirth. Methods 250 cases in the responsibility of midwives ＂one on one＂ accompany childbirth were selected as group A, and 250 cases wht the traditional way of the early delivery of maternal were selected as group B. The labor course, cesarean section rate,, postpar- tum hemorrhage, fetal distress and neonatal asphyxia, and maternal satisfaction of two groups were compared. Results Group A after vaginal delivery of maternal first stage and second stage of significantly reduced （ P 〈0. 01 ） , surgical yield, postpartum hemorrhage, fetal distress and neonatal asphyxia were significantly decreased （ P 〈0. 01 ） , improved maternal satisfaction （ P 〈 0.01 ）. Conclusion ＂one on one＂ accompany obstetric service delivery can improve the quality of clinical deserves.