丈夫陪产对分娩期影响的临床研究

Effects of childbirth accompanied by husband： observation of 300 cases

目的探讨产妇待产过程中丈夫陪产的作用和意义。方法选取住院分娩病例600例随机均分为2组，观察组病例丈夫和助产人员在分娩过程中陪伴产妇完成分娩至产后2h。对照组病例只有一位经验丰富的助产人员陪伴，指导产妇的丈夫在产妇分娩过程中为产妇按摩，协助产妇饮食、排泄，完成分娩至产后2h。结果剖宫产率的观察组为39．7％，显著低于对照组（56．0％，P〈0．01）。第一，第二，第三，和总阶段劳动观察组均显著地缩短比对照组（P〈0．01）。产后出血的数量的观察组显著低于对照组俾〈0．05）。产后抑郁症的速度的观察组为1．5％，显著低于对照组（4％，P〈0．05）。结论在产程中开展丈夫陪产，可减少难产发生，降低剖宫产率，减少产后出血及产后抑郁症的发生，提高了产科质量。

Objective To investigate the effects of childbirth accompanied by husband. Methods 600 expectant mothers were randomly divided into 2 equal groups; control group with the company of an experienced birth attendant until 2 hours after the completion of delivery, and observation group with the company of the husbands who were taught to help the expectant mothers eat, drink, and urinate regularly, and massage the low back and lower abdomen of the lying-in women, until 2 hours after childbirth. The rates of caesarean section, post-partum hemorrhage, postpartum depression were observed. Results The cesarean section rate of the observation group was 39.7%, significantly lower than that of the control group （56.0%, P〈 0.01）. The first, second, third, and total stages of labor of the observation group were all significantly shorter than those of the control group （all P〈0.01）. The amount of post-partum hemorrhage of the observation group was significantly less than that of the control group （P〈 0.05）.The rate of post-partum depression of the observation group was 1.5%, significantly lower than that of the control group （4%, P 〈 0.05）. Conclusion Childbirth accompanied by husband help decrease difficult delivery; reduces decreasing the rate of caesarean section, and lower the rates of post-partum hemorrhage and post-partum depression, so as to improve the quality of obstetric treatment.