163例Doula分娩的临床意义

Clinical Expericnce of 163 Deliveries with Doual

目的 :通过对 16 3例 Doula分娩孕妇的临床观察 ,寻找降低剖宫产率 ,提高阴道顺产率的有效措施。方法 :正常足月孕妇 ,无头盆不称 ,均排除妊娠合并症或妊娠并发症 ,随机分为 Doula分娩组及正常足月分娩组各 16 3例。结果 :16 3例 Doula分娩孕妇的剖宫产率、产钳助产率、产后 2小时出血量及新生儿窒息发生率明显低于对照组 (P<0 .0 1) ;Doula组孕妇的第一产程、第二产程及总产程均短于对照组 (P<0 .0 1)。结论 :Doula分娩可以降低剖宫产率。减少产科干预率、缩短产程 ,减少产科病率和围产儿病率等 。

Objectives:Toinvestigate the effectiveness of Doula delivery is reducing cesarean section rate.Methods:Full term normal pregnant women were divided into two groups,Doula and routine groups 163 women for each group.Results:The cesarean section rate ,forceps delivery and amount of blood loss within 2 hours after delivery were lower in Doula group than those in routine group ( P <0.01).And the duration of 1st stage,2nd stage and total duration of labor were also shorter in Doula group ( P <0.01).Conclusions:Delivery with Doula is effective in reducing C Section,shortening duration of labor and decreasing maternal and neonatal morbidity.