全程助产责任制和丈夫陪伴分娩的临床观察与分析

Clinical Observation and Analysis of Full-process Responsibly Assisted Delivery System and Husband-Accompanied Delivery

目的:探讨全程助产责任制和丈夫陪伴分娩两种产时服务模式的临床意义。方法:收集自愿接受全程助产责任制和丈夫陪伴分娩的产妇的临床资料,随机抽取180例全程助产责任制产妇作为观察组和133例丈夫陪伴分娩的产妇作为对照组,观察两组产妇阴道分娩率、剖宫产率、产程时间、出血量及新生儿窒息率。结果:观察组与对照组相比总产程短、自然分娩率高、剖宫产率低、阴道助产率低、新生儿窒息率低(P<0.05),两组间产后出血量无显著性差异(P>0.05)。结论:全程助产责任制有利于缩短产程,减少新生儿窒息发生率,降低社会因素剖宫产率,提高产科工作质量。

Objective：to explore the clinical significance of full-process responsibly assisted delivery and husband-accompanied delivery.Method： clinical data of parturients voluntarily undergone full-process responsibly assisted delivery and husband-accompanied delivery were collected.180 cases of full-process responsibly assisted delivery were selected randomly as the observation group,and 133 cases of husband-accompanied delivery were chosen randomly as the control group.Rate of vaginal delivery,cesarean section rate,duration of labor,blood loss and neonatal asphyxia of the two groups were observed.Result： compared with control group,the observation group proved shorter in the duration of labor,higher in natural delivery,lower in cesarean section rate,lower in forceps delivery,and lower in neonatal asphyxia（P〈0.05）.There is no significant difference in blood loss between the two groups（P〉0.05）.Conclusion： Full-process responsibly assisted delivery can shorten the duration of labor,reduce the occurrence of neonatal asphyxia,decrease cesarearn section rate due to social factors,and improve obstetric quality.