导乐陪伴式分娩的临床效果观察

Clinical effects observation of Doula-style delivery

目的:探讨导乐陪伴分娩对产程、剖宫产率及围产期并发症的影响,提高分娩质量。方法:960例初产妇随机分为观察组和对照组,观察组采用导乐陪伴式分娩,对照组产妇采用传统护理方法分娩,观察两组产程时长、分娩方式、产后24h出血量和新生儿窒息等情况。结果:观察组产程时长显著低于对照组,相比较均有显著性差异(P<0.05);观察组阴道分娩率为85.6%,显著高于对照组(55.2%),相比较有显著性差异(P<0.05);观察组产后24h出血量和新生儿窒息显著低于对照组,相比较有显著性差异(P<0.05)。结论:导乐式陪伴分娩能有效地缩短产程、降低剖宫产率、减少产后出血和新生儿窒息的发生,值得临床推广应用。

Objective：To study the influence on labor,cesarean section rate and perinatal complications,and discuss the way to improve the quality of the childbirth.Methods：960 cases of primiparas were randomly divided into observation group and control group,the observation group were given Doula-style delivery,the control groups were given the traditional nursing,the length of labor,mode of delivery,2h post-partum hemorrhage and newborn asphyxia of the two groups were observed.Results：The length of labor of observation groups was lower than the control group,compared the difference was significant（P 〈0.05）;the rate of vaginal delivery of observation groups was 85.6%,the control group was 55.2%,compared the difference was significant（P〈0.05）;the 2h post-partum hemorrhage and rate of newborn asphyxia of observation groups were lower than the control group,compared the difference was significant（P〈0.05）.Conclusion：The Doula-style delivery can effectively shorten labor,reduce the cesarean section rate,reducing post-partum hemorrhage and newborn asphyxia,it is worthy of clinical application popularizing.