全程陪伴在初产妇分娩中的应用

Application of whole process companion in parturition of primiparas

目的探讨全程陪伴在初产妇分娩中的应用。方法将600例足月妊娠初产妇随机分为观察组和对照组,每组300例,对照组采用常规护理,观察组在常规护理基础上实施全程陪伴,比较2组产妇产程时间、出血量、新生儿窒息情况及分娩方式。结果观察组产妇第1产程、第2产程短于对照组(P<0.05),出血量少于对照组(P<0.05);观察组产妇剖宫产率、会阴侧切率低于对照组(P<0.05),顺产率高于对照组(P<0.05),新生儿窒息率明显低于对照组(P<0.05)。结论全程陪伴可以减轻产妇的不良情绪,提高顺产率,增加满意度,提高产科的护理质量,还可以降低产后出血率,利于产妇的产后康复。

Objective To investigate the effect of whole process companion in parturition of primiparas. Methods A total of 600 cases were divided into a control group and an observation group with 300 patients in each group. The control group adopted the conventional nursing and the observation group adopted the nursing intervention based on conventional nursing and the accompany delivery in whole process. The length of labor, the total bleeding, the status of neonatal asphyxia, and the mode of delivery were observed and the results of two groups were compared. Results The first stage and the second stage of the observation group were shorter than those of the control group （P 〈0.05）, and the bleeding was less than that of the control group （P 〈0.05）. The cesarean section rate and episiotomy rate of the observation group were lower than those of the control group （ P 〈0.05 ）, and the natural delivery rate was higher than that of the control group （ P 〈0.05）. The neonatal asphyxia rate was significantly lower than that of the control group. Conclusions Accompany delivery in whole process may ease parturient woman＇s bad mood and enhance the production rate, the degree of satisfaction and obstetrics＇ nursing quality. It reduces the postpartum hemorrhage rate and is good for housewife＇s postnatal recovery.