导乐分娩的探讨

The study to Doula delivery

目的:让一种人性化的分娩模式-导乐分娩运用于临床,减轻分娩时的痛苦,保证母婴健康,促进自然分娩,从而降低剖宫产率。方法:选择2011年1月～2012年1月在我院分娩的孕妇中随机抽出600例作为研究对象,自愿导乐300例为导乐组,不愿导乐300例为对照组。导乐组陪伴分娩,对照组传统分娩模式,对两组产妇的剖宫产率、产程时间、产妇感受、产后出血量、新生儿窒息率等进行分析。结果:导乐组剖宫产率低(P<0.01),产程时间短(P<0.01),产妇满意度高(P<0.01),产后出血量无明显差异(P>0.05),新生儿窒息率低(P<0.05)。结论:导乐分娩能促进自然分娩,减少母婴并发症,值得推广。

Objective：To make a kind of humanized childbirth mode - doula childbirth, in cliniCal use, ease the pain of childbirth, ensure maternal and child health, promoting natural delivery, thereby lowering the rate of cesarean section. Methods：In 2011 January -2012 year in January in our hospital delivery in pregnant women with a random sample of 600 patients as the object of study, voluntary doula 300 with Doula group, 300 cases in the control group than the doula. Doula accompany delivery group, a control group of traditional delivery mode, the two group of the maternal cesarean section rate, duration of labor, maternal feelings, postpartum hemorrhage, neonatal asphyxia rate analysis. Results： The doula cesarean section rate is low （P 〈 0.01 ）, labor time is short （P 〈 0. 01 ）, maternal satisfaction was high （ P 〈 0.01 ）, postpartum hemorrhage volume showed no significant difference （ P 〉 0.05 ）, neonatal asphyxia rate is low （P 〈 0.05）. Conclusions： Doula delivery to promote spontaneous delivery, reduce maternal complications, worthy of promotion.