爱力减痛法联合陪伴分娩在初产妇产程中的应用

The influence of accompany delivery love for early maternity epidural analgesia method

目的观察爱力减痛分娩法联合陪伴分娩对初产妇分娩的影响,探讨其在临床应用中的价值。方法观察组160例自产妇妊娠28周开始,由其丈夫陪伴共同进行爱力减痛分娩法系统训练,对照组160例初产妇未进行爱力分娩法训练,只按常规一对一陪伴分娩。观察两组初产妇与助产士的配合情况,记录分娩方式、绘制产程图观察各产程的时间、产后2 h出血量和新生儿窒息情况。结果观察组的剖宫产率、产后2 h出血量和新生儿窒息情况低于对照组,差异有统计学意义(P<0.05);观察组第一产程、第二产程、总产程时间短于对照组,差异有统计学意义(P<0.01)。结论爱力减痛分娩法可使初产妇充满信心,在产痛和分娩过程中保持镇定,促进自然分娩,降低剖宫产率、缩短产程,减少产后出血量、降低新生儿窒息情况,值得临床推广应用。

【Objective】To observe the influence of accompany delivery love for early maternity epidural analgesia method,to explore its clinical application value.【Methods】160 cases in observation group from 28 weeks of pregnancy,the husband of Lamaze method system training,the control group of 160 cases of primipara without loving labor training,only routine to accompany delivery.To observe the situation with the mothers and midwives at the beginning of two groups,recording mode of delivery,draw partogram observe each labor time,2 h postpartum bleeding and neonatal asphyxia.【Resluts】 the group of cesarean section,postpartum hemorrhage and neonatal asphyxia of 2 h lower than the control group,the difference was statistically significant（P0.05）;observation group of the first stage,the second stage of labor,the total labor time was shorter than the control group,the difference was statistically significant（P0.01）.【Conclusion】the Lamaze method can make the primipara with confidence,in the pain of labor and delivery process to remain calm,promote natural delivery,reduce the cesarean section rate,shorten birth process,reduce the amount of reduction in neonatal asphyxia,postpartum hemorrhage,worthy of clinical application.