导乐陪伴分娩对初产妇分娩疼痛及产程的影响

Effect of Doula in delivery on maternity pain and production process

目的探讨导乐分娩对产妇分娩疼痛及三个产程的影响。方法临床随机对照研究,将160例初产孕妇随机分为实验组(导乐组)和对照组(常规组)各80例,分别对分娩疼痛、产程时间及软产道裂伤情况进行研究。结果第一产程宫缩痛比较,两组差异有统计学意义(P<0.05),导乐组疼痛程度低于常规组,而第二产程和第三产程宫缩痛差异无统计学意义;两组中顺产的初产妇第一产程和第三产程时间比较,差异有统计学意义(P<0.05),导乐组时间较短;导乐组剖宫产率低于常规组(P<0.05)。常规组软产道裂伤率高于导乐组(P<0.01)。结论导乐分娩能减轻分娩疼痛,缩短产程,减少剖宫产率,减少产伤,有利于母婴健康,值得推广。

Objective To explore the effect of Doula in delivery on maternity pain and three stages of labor. Methods Randomized controlled clinical study, 160 cases primiparous pregnant women were randomly divided into experimental group （Doula groups） and the control group （conventional group） of the 80 cases, the study of maternity pain, labor duration and soft birth canal laceration. Results The first stage of maternity pain comparison, the difference was statistically significant （ P 〈 0. 05 ） , the doula group degree of pain was lower than the conventional group, and the second stage and the third stage of labor maternity pain was no significant difference; two groups of primipara entocia, the time of the first stage of labor, and the third stage of labor, the difference was statistically significant （P 〈 0. 05）, doula group shorter; the Doula groups cesarean section rate was lower than the conventional group （P 〈 0. 05 ）. The conventional group soft birth canal laceration was higher than Doula group （P 〈 0. 01 ）. Conclusions Doula can reduce maternity pain, shorten labor, reduce the rate of cesarean section, reduce birth trauma, is conducive to the health of the mother and the baby, should be promoted.