产妇产程中的助产士护理对分娩结局的影响

Influence by midwife nursing during labor stage on delivery outcome

目的探讨产妇产程中的助产士护理对分娩结局的影响。方法 480例产妇,随机分成观察组和对照组,各240例。对照组采取常规护理,观察组在常规护理情况下采取助产士护理。对比两组产妇的分娩结局。结果经护理后,观察组产妇的第一产程时长(5.15±0.51)h、第二产程时长(0.83±0.31)h均短于对照组的(7.58±1.74)(1.46±0.25)h,比较差异均具有统计学意义(P<0.05)。观察组的剖宫产率11.25%、新生儿窒息率5.42%、产后2 h出血量(152.6±18.2)ml均优于对照组的17.08%、10.42%、(246.5±25.8)ml,比较差异均具有统计学意义(P<0.05)。结论采取助产士护理不仅能够有效增强产妇的信心,提高自然分娩率,降低产程时间,还能够降低新生儿窒息率,改善产后出血情况。

Objective To investigate influence by midwife nursing during labor stage on delivery outcome. Methods A total of 480 puerpera were randomly divided into observation group and control group, with 240 cases in each group. The control group received conventional nursing, and the observation group received additional midwife nursing during labor stage. Delivery outcomes were compared between the two groups. Results After nursing, the observation group had all shorter first and second stage as （5.15± 0.51） and （0.83± 0.31） h than （7.58± 1.74） and （1.46 ±0.25） h of the control group, and their difference had statistical significance （P〈0.05）. The observation group had all better cesarean section rate as 11.25%, neonatal asphyxia rate as 5.42% and 2 h postpartum hemorrhage as （152.6 ± 18.2） ml than 17.08%, 10.42% and （246.5 ± 25.8） ml of the control group. Their differences all had statistical significance （P〈0.05）. Conclusion Implement of midwife nursing can effectively enhance puerpera＇s confidence, increase spontaneous labor rate, and reduce stage time, neonatal asphyxia rate and improve postpartum hemorrhage.