助产士助产护理对产妇分娩质量的影响研究

Study on the influence of midwives and midwifery care on the delivery of quality

目的探究助产士助产护理对产妇分娩质量的影响。方法选取2011年1月—2013年1月在我院分娩的346例产妇,随机分为实验组和对照组,对照组产妇采用常规护理分娩,实验组产妇采用助产士助产护理分娩,观察两组产妇的分娩效果和出血量,比较两组产妇的分娩质量。结果实验组产妇自然分娩148例,占86.05%,对照组产妇自然分娩108例,占62.07%,实验组产妇自然分娩率明显高于对照组产妇(P<0.05),具有统计学意义;实验组产妇的分娩时间、产后2 h出血量明显低于对照组产妇(P<0.05),具有统计学意义;实验组患者新生儿窒息评分明显高于对照组(P<0.05),产妇抑郁评分明显低于对照组(P<0.05)具有统计学意义。结论在产妇的分娩过程中,采用助产士助产分娩可以有效提高产妇的自然分娩率,降低剖宫产率;缩短产妇分娩产程时间,缓解产妇痛苦;减少产妇产后2 h出血量,预防产后并发大出血;有效降低死胎率和新生儿死亡率,有效保证了产妇和新生儿的健康,值得在临床上推广使用。

Objective To explore the effect of midwives and midwifery care on the quality of delivery. Methods Collect 346 cases of parturient in our hospital from 2011.1-2013.1, The parturient were randomly divided into experimental group and control group, experimental group use the routine midwifery care, control group use midwives and midwifery care. observe two groups of parturient labor effect and the amount of postpartum hemorrhage, compare parturient delivery quality of two groups. Results There were 148 cases of parturient in experimental group have a natural delivery , accounted for 86.05%,108 cases of parturient in control group have a natural delivery, accounted for 62.07 %, natural delivery rate of experimental group was significantly higher than the control group （P〈0.01）, has statistical significance; The experimental groups of parturients＇ delivery time, vaginal delivery rate,the rate of cesarean section,2 hours postpartum hemorrhage,the neonatal mortality rate,significantly lower than the con- trol group of parturient （P〈O.01）, has statistical significance. Conclusion In the process of parturient dehvery,midwives and mid- wifery care can effectively improve the rate of natural delivery, reduced the rate of cesarean section, shorten the labor course, re- lieved the labor pain, reduced 2 hours postpartum hemorrhage, prevent postpartum hemorrhage. Effective reduced the rate of stillbirths and neonatal mortality; guarantee the parturient and neonatal health, can be widely used in clinical.