责任制助产模式结合分娩球实施体位管理在分娩过程中的应用研究

Research on application of responsibility system of midwifery model combined with delivery ball on position management in delivery procedure

目的探讨责任制助产模式结合分娩球实施体位管理在分娩过程中的应用效果。方法将110例产妇按照自愿原则分为两组,对照组(54例)采取传统助产模式,观察组(56例)采取责任制助产模式+分娩球实施体位管理。对比两组产程进展情况、疼痛情况、分娩结局及满意度。结果观察组第一产程和第二产程均快于对照组,差异有统计学意义(P<0.01),两组第三产程比较,差异无统计学意义(P>0.05),观察组总产程短于对照组,差异有统计学意义(P<0.01)。观察组疼痛评分低于对照组、剖宫产率低于对照组、产后出血量少于对照组、满意度高于对照组(P<0.05)。结论分娩过程实施责任制助产模式结合分娩球行体位管理可以促进产程进展、缓解产妇疼痛感、改善分娩结局、提高满意度。

Objective To study the effect of responsibility system of midwifery model combined with delivery ball on position management in delivery procedure.Method Divide 110 parturient into two groups according to their wishes.54 parturient in control group receive routine midwifery model.56 parturient in observation group receive responsibility system of midwifery model combined with delivery ball on position management.Compare labor progress,pain,delivery outcome and satisfactory level of two groups.Result Observation group has shorter first stage and second stage of labor than control group.The difference is significant（P〈0.01）.There is no significant difference on the third stage of labor between two groups（P〉0.05）.Observation group has shorter total stage of labor than control group.The difference is significant（P〈0.01）.Observation group has lower score on pain,lower cesarean section rate,less postpartum hemorrhage and higher satisfactory level than control group（P〈0.05）.Conclusion Responsibility system of midwifery model combined with delivery ball on position management in delivery procedure can improve labor progress,relieve pain of parturient and improve delivery outcome and rise satisfactory level.