导乐陪伴分娩的产科意义探讨

Study on the obstetric significance of Doula Delivery

目的探讨导乐陪伴分娩的临床效果。方法在我院住院的单胎初产妇680例随机分成2组-导乐组与对照组各340例,对照组采用常规分娩观察,导乐组采用全程导乐陪伴分娩。结果导乐组阴道分娩者明显高于对照组,差异有显著性(P<0.05)。同时剖宫产率明显下降,差异也有显著性(P<0.05)。导乐组新生儿窒息发生率明显低于对照组,差异有显著性(P<0.05)。结论导乐陪伴分娩能够提高顺产率,降低剖宫产率与新生儿窒息发生率,值得推广应用。

Objective To study the clinical effect of Doula delivery. Methods A total of 680 cases of single-fetus primi- para were randomly divided into two groups - the doula group and control group, each with 340 cases. Results The vaginal delivery of Doula group was significantly higher than that of the controlgroup with significant difference （P〈0.05）. Mean- while the cesarean rate was significantly decreased also with significant？difference （P〈0.05）. In addition, the neonatal as- phyxia of the Doula group is obviously lower than that of the control group with significant difference （P〈0.05）. Conclusion Since the Doula delivery can improve the eutocia rate and reduce the incidence of cesarean rate and neonatal asphyxia, it should be popularized.