护理干预促进自然分娩的探索与实践

Exploration and Practice of Nursing Intervention Promoting Natural Labor

目的:探讨系统性护理干预促进自然分娩的方法及效果。方法:将住院待产的初产妇120例随机分为试验组和对照组各60例,对照组用传统的接生方法并进行产时护理及健康教育。试验组在常规护理的基础上进行系统性护理干预:建立孕妇个人档案、强化产前教育及培训、严格产前监控及管理、产程中指导产妇运用拉梅兹分娩放松法、配合针灸止痛等措施。结果:试验组产妇分娩疼痛程度较对照组轻、自然分娩率较对照组高,阴道分娩中转剖腹产例数少于对照组,差异有统计学意义(P<0.05)。结论:系统性护理干预可有效减轻分娩疼痛,加速分娩进程,促进自然分娩,降低剖腹产率。

Objective：To explore the method and effects of systematic nursing intervention promoting natural labor. Methods： All 120 patients were randomized into the experiment group and the control group, the control group adopted traditional delivery method, received intrapartum nursing and health education. The experiment group accepted systematic nursing intervention on the basic of routine nursing：keeping personal files of pregnant women, enhancing prenatal education and training, prenatal monitoring and management strictly, guiding the lying-in women using Lamaze method of childbirth during the labor, combined with acupuncture to relieve pain and other measures. Results： The experiment group was ligher than the control group in the degrees of delivery pain, higher than the control group in the rate of natural labor, significantly less than the control group in vaginal delivery tranfering to cesarean section （P〈0.05）, there were statistical meaning. Conclusion： Systematic nursing intervention could effectively relieve delivery pain, accelerate the birth process, promote natural delivery and decrease cesarean section rate.