家庭化分娩护理的研究

Research on Birth Nursing in the Homely Wards

目的：为适应医学模式的转变，建立家庭化分娩病房，提高分娩护理质量。方法：建立家庭化分娩病房，产妇从待产、分娩到产后康复均在同一病室进行，对家庭化分娩的护理模式和护理管理、蓖麻油引产催产、减少产后出血、产妇痔脱出的处理、心理护理、感染的预防和母乳喂养等进行研究，并将研究结果应用于临床。结果：开办８年来共接受孕妇６２７８例，分娩新生儿５９９８人，产程显著缩短，产科质量和母乳喂养率显著提高，无发生产褥感染和新生儿感染。结论：家庭化分娩显著提高产科质量，应进一步完善和推广。

OBJECTIVE To adapt the change of medical model and improve the quality of birth nursing by establishing homely wards. METHODS The homely wards for birth were set up. The puerperal could finish all process in the same room during the period of expecting confinement, giving the birth and the recovery. To study clinical application for the model and management of nursing , eating castor oil for oxytocic and artificial labor, reducing postpartum hemorrhage, treating prolapsed hemorrhoid, the psychological nursing, infection prevention and breast feeding. RESULTS During 8 years 5998 newborn were delivered from 6278 pregnant women. The process of birth was cut down obviously. The quality of obstetrical service and the breast feeding rate have been improved and no puerperal obviously and newborn infection. CONCLUSION The homely wards have obviously improved the quality of obstetrical department and it is necessary to be perfected and spread further.