正性护理干预降低非必须剖宫产率的可行性研究

目的：制定系列化孕期持续正性干预的护理措施，并与未实行全程正性干预的回顾性病例作对比研究，观察并分析其在降低非必须性剖宫产率的作用。方法选取2009年1月～2012年12月在广东省东莞康华医院住院分娩的产妇2000例，随机分为对照组（不干预组）和观察组（正性持续全程护理干预组），每组1000例产妇。通过对比研究，分析其在降低非必须性剖宫产率中的作用。结果对照组非必须剖宫产率为43%，观察组非必须剖宫产率为18%。结论孕期持续全程正性护理干预，可以让孕妇认识自然分娩的好处，增强自然分娩的信心，消除对分娩的紧张、恐惧及分娩的误区，从容面对自然分娩，同时减轻分娩引起的产痛，降低胎方位异常的发生率，有效降低非必须剖宫产率。

Objective Formulate nursing measures of continuous positive intervention during pregnancy,and not the STD cases full positive intervention study,analysis of the reduced to the rate of cesarean section to the role and compare. Methods A retrospective study was carried out in our hospital from 2009 January through 2012 December to women,Random selection without medical indication of cesarean section parturients,a total of 2700 women,not the intervention group,continuous intervention group and intervention group continued,each of the 900 mothers.Through the comparison of the three sets of data,in the analysis of non must reduce cesarean section rate. Results The control group was 43%non-essential caesarean section the obsorvation group was 18%non-essential caesrean section. Conclusion Not to harm of increasing cesarean section rate has become the new difficulties and social problems in clinical work,to reduce social factors as indication of cesarean section rate be imperative.Through the pregnancy continued the positive nursing intervention,can let the women know the benefits of natural childbirth,to enhance the natural childbirth confidence,and her husband and family support.The elimination of labor tension,fear and misunderstanding of childbirth,calm in the face of natural childbirth,at the same time to reduce delivery caused by pain and reduce the incidence of abnormal fetal position,effectively reduce unnecessary cesarean section.