责任制助产在提高产妇围产期分娩质量中的应用效果

The application effect of responsibility midwifery on improving maternal perinatal birth quality

目的：探讨责任制助产对产妇围产期分娩质量的影响。方法100例产妇随机分为观察组和对照组，对照组采用常规护理模式，观察组采用责任制助产，比较两组产妇的围产期的护理质量。结果观察组的健康知识知晓率高于对照组，第一产程、第二产程、第三产程、总产程时间均少于对照组，产时出血量少于对照组，差异有统计学意义（ P＜0．05）。观察组的阴道分娩率高于对照组，产后出血量少于对照组，新生儿窒息率显著低于对照组，窒息评分显著高于对照组，护理满意度高于对照组，差异有统计学意义（ P＜0．05）。结论责任制助产可增加产妇的分娩知识，促进产程进展，提高阴道分娩率，是一种有利于保障母婴健康和产科质量的护理模式。

Objective To investigate the responsibility midwifery effect on perinatal birth quality.Methods A total of 100 cases of puerperae were randomly divided into the observation group and the control group, the control group was given routine nursing, the obser-vation group was given responsibility midwifery, nursing quality were compared between the two groups in the perinatal period.Results Health knowledge awareness rate in the observation group was higher than that in the control group, the first stage of labor, the second stage of labor, the third stage of labor, the total labor time were less than those in the control group, quantity of intrapartum hemorrhage was less than that in the control group with statistical significance （P〈0.05） .The vaginal delivery rate in the observation group were higher than that in the control group, the amount of postpartum hemorrhage was less than that in the control group, the rate of neonatal asphyxia was sig-nificantly lower than that in the control group, nursing satisfaction was higher than that in the control group, with statistical significance （ P〈0.05）.Conclusions Responsibility midwifery can increase maternal childbirth knowledge, promote the progress of labor, increase the rate of vaginal delivery;it is a model of obstetrical department care to ensure maternal and child health and the quality.