湿热敷腹部配合导乐陪伴对分娩的影响

Impact of abdominal hot-wet compression combined with Doula on delivery

目的:研究腹部湿热敷配合导乐陪伴分娩对分娩的影响。方法:将280例足月、单胎、头位且无剖宫产适应症的初产妇随机分为两组,对照组140例给予常规护理,观察组140例在常规护理的基础上实施腹部湿热敷配合导乐陪伴。观察两组产妇在分娩方式,及非剖宫产产妇第一、二产程时间,产后2 h出血量等方面的情况并进行比较。结果:观察组产妇正常顺产率明显高于对照组,在非剖宫产产妇中,观察组产妇第一、二产程的时间和产后2 h的出血量明显少于对照组。结论:对初产妇采用腹部湿热敷配合导乐陪伴分娩,可提高阴道分娩率,缩短产程,减少产后出血量。

Objective：To explore the effect of hot-wet compression on the abdomen combined with Doula delivery. Methods：280 primiparas with full-term and single pregnancy,delivery of head presentation and no indications of cesarean sections were randomly divided into two groups. 140 cases in the control group were given conventional nursing while 140 cases in the observation group,on the basis of routine nursing,were treated with hot-wet compression on the abdomen combined with Doula delivery. The delivery conditions of two groups were observed before and after the intervention. For the primiparas without cesarean sections,the data about the bleeding vol-ume in the first and second stage of labor and 2 hours after delivery were compared. Results：The eutocia of the observation group was significantly higher than that of control group and the bleeding volume on the first and second stage of labor and 2 hours after delivery in the observation group was obviously less than that in the control group Conclusion：The employment of hot-wet compression on the abdomen combined with Doula delivery can shorten the birth process,reduce postpartum hemorrhage.