个性化助产模式对初产妇分娩结局的影响

Influence of personalized delivery model on delivery outcome in primipara

目的 探讨采用个性化助产模式对初产妇分娩结局的影响。方法 选取我院产科2012年10月-2014年12月收治的200名足月待产的初产妇为研究对象,采用随机数字表法将其对随机分为两组,每组100例。对照组给予传统的助产方式进行助产：于产妇宫口开至3 cm时送入产房行助产护理;而观察组则采用个性化助产模式进行助产,即全程陪伴责任助产模式,产妇于入院开始即由1名高年资助产士和1名后备助产士进行全程陪产,包括产前指导生产、产时进行陪产、产后进行母乳喂养指导。比较两组产妇的产程时间、产后出血量,剖宫产、胎儿宫内窘迫、产后产妇抑郁症发生率及新生儿Apgar评分。结果 观察组的第一产程、第二产程时间均短于对照组,产后出血量少于对照组,剖宫产、胎儿宫内窘迫、产后产妇抑郁症发生率均低于对照组,新生儿Apgar评分高于对照组,差异均有统计学意义（P〈0.05）。结论 个性化助产模式能有效缩短初产妇的产程,降低剖宫产、胎儿宫内窘迫、产后产妇抑郁症发生率,减少产后出血量,并能提高新生儿Apgar评分,值得临床推广应用。

Objective To explore the influence of personalized delivery model on delivery outcome in primipara.Methods From October 2012 to December 2014,200 full-termprimiparae to infanticipate received by our hospital were selected as research group.They were evenly divided into two groups using the random number table method.In control group,traditionaldelivery model for delivery was used.Primiparae were sent to delivery room for nursing midwifery when their cervix opened to 3 cm.In observation group,personalized delivery model namely accompany responsibility midwifery model in the whole delivery was used for midwifery.To be specific,on admission to hospital,primipara was accompanied by one senile and one standby midwife in the whole delivery including antenatal delivery guidance,accompanied labor during delivery,and breast feeding guidance after delivery.The duration of labor,the incidence rate of cesarean section,fetal distress in uterus,postpartum depression for puerpera,and Apgar score in neonate between two groups was compared respectively. Results In observation group,time of the first stage and second stage was shorter than that of control group respectively,ans postpartum hemorrhage amount was less than that in control group,the incidence rate of cesarean section,fetal distress in uterus,postpartum depression for puerpera was lower than that of control group respectively,and there was a statistical difference（P〈0.05）. Conclusion Personalized delivery model can effectively shorten stage of labor in primiparae,and reduce the incidences of cesarean section,fetal distress in uterus,and postpartum depression for puerpera,reduce postpartum hemorrhage amount,and improve neonatal Apgar score,which is worthy of clinical application and promotion.