导乐分娩在初产妇分娩的应用效果分析

Effect Analysis of Doula Delivery on the Delivery of Primiparae

目的探究全程人性化导乐分娩管理措施在初产妇中的应用效果分析。方法随机选取于2013年4月至2014年12月来到我院的足月分娩产妇总计98例作为本次研究对象,按照产妇分娩的先后顺序将其平均分为观察组和对照组,对照组产妇采用常规的产房产程管理方式,观察组产妇在此基础上采用全程人性化导乐分娩管理措施,比较两组产妇在分娩过程中的情况以及分娩后情况,分析全程人性化导乐分娩管理措施在初产妇中的应用效果。结果观察组产妇生产时出血量、产后出血量、生产时间以及住院时间均少于对照组,两组比较具有显著统计学差异(P<0.05),观察组产妇难产情况、剖宫产情况以及婴儿窒息情况明显少于对照组,两组比较具有显著统计学差异(P<0.05),观察组产妇产后满意率明显高于对照组,两组比较具有显著统计学差异(U=2.9494,P=0.0032)。结论全程人性化导乐分娩管理措施可减轻初产妇在分娩过程中的紧张情绪,提高新生儿的出生质量,值得广泛推广使用。

Objective To analyze application effect of doula delivery management measures among primiparae. Methods In total of 98 primiparae who had term delivery in our hospital from April 2013 to December 2014 were included in our study. According to the delivery order, primiparae were divided into observation group and control group averagely. Primiparae in control group received routine management of stage of labor in delivery room, while primiparae in observation group received not only routine management but also doula delivery management. The situation of primiparae in two groups during and after delivery were compared, and the effect of doula delivery management among primiparae was analyzed. Results The bleeding volume during delivery, postpartum bleeding volume, delivery time and hospital stay in observation group were less than these in control group, and the differences were significant（P〈 0.05）. The occurrence rate of dystocia, the caesarean section and neonatal asphyxia was significantly lower than the control group, and the difference was significant（P 〈0.05）. The postpartum satisfaction rate in observation group was significantly higher than that in control group, and the differences were significant（U=2.9494, P=0.0032）. Conclusions Doula delivery management measures can ease the nervousness of primiparae during childbirth, improve the birth quality of newborns, and should be popularized.