导乐仪镇痛结合全程责任制陪伴对分娩质量的影响

DOULA INSTRUMENT COMPANY ON THE QUALITY OF DELIVERY ANALGESIA COMBINED WITH FULL ACCOUNTABILITY

目的探讨三种不同分娩服务模式对母儿结局的影响,以寻求最佳分娩服务模式。方法将600例单胎足月初产妇随机分为三组。观察Ⅰ组200例行非药物无创伤导乐分娩镇痛仪联合全程责任制陪产;观察Ⅱ组200例单纯行全程责任制陪产;对照组200例行传统方法待产。观察三组产痛评分、产程时间、分娩方式、产后出血及产妇对分娩服务满意度等。结果产痛评分观察Ⅰ组明显低于观察Ⅱ组和对照组;剖宫产率观察Ⅰ组低于观察Ⅱ组和对照组;分娩服务满意度观察Ⅰ组较观察Ⅱ组和对照组均明显增高;产后2 h出血量、产后出血率及新生儿窒息率对照组高于观察Ⅰ组和观察Ⅱ组;三组比较有统计学意义(p<0.01)。三组产妇活跃期时间、第二产程及应用缩宫素比例均无显著差异(p>0.05)。结论导乐分娩镇痛仪联合全程责任制陪产分娩服务模式,能降低产妇产后出血率、新生儿窒息率和剖宫产率,缓解产痛明显。

Objective To discuss the effect of three different delivery mode on the mother and infant out- come. Methods 600 primipara cases were randomly divided into three groups. Observation group I 200 eases using routine Doula labor analgesia instrument combined with full responsibility system paternity;Observation group 11 200 cases using simply full responsibility paternity; Control group200 cases using traditional methods to delivery. Results Labor pain score observed in group I was significantly lower than group l[ and the control group;Cesarean section rates in a group I was lower than group II and control group; Delivery service satisfaction in a group I was increased obviously more than group I[ and control group ;2 hour postpartum bleeding volume, postpartum hemorrhage rate and neonatal asphyxia rate in control group were higher than those in group I and group ]1 ; the difference among three groups have statistic significance （p 〈 0. 01 ）. But the time of parturient＇s activity, the second stages of labor and oxytocin application rate of three groups have not significant difference （p 〉 0. 05）. Conclusion Doula delivery analgesia instrument combined full responsibility paternity delivery mode can reduce the rate of postpartum hemorrhage and newborn asphyxia and cesarean section rate, significantly ease the pain of childbirth.