助产护士分娩前指导对产程的影响

Effect of nursing midwife antepartum education on labor

目的探究助产护士分娩前指导对产程的影响。方法 选取我院2013年4月~2015年4月收治的300例初产妇,将其随机分为观察组和对照组,各150例。观察组接受助产护士分娩前指导,对照组接受常规护理服务,比较两组孕产妇分娩方式、产程时间和有效配合率。结果 观察组自然分娩率为93.33%,明显高于对照组的46.67%,差异有统计学意义（χ2=77.778,P〈0.01）;观察组产程时间较对照组显著缩短,差异有统计学意义（P〈0.01）;观察组总有效配合率为94.00%,明显高于对照组的79.33%,差异有统计学意义（χ2=13.962,P〈0.01）;观察组产妇产后的平均出血量为（159.04±7.19）ml,明显少于对照组的（234.38±8.81）ml,差异有统计学意义（t=81.143,P〈0.01）。结论 助产护士分娩前指导,可有效增强初产妇的自然分娩信心,同时提高自然分娩率,缩短产程并减少产后出血量,具有重要的临床价值,值得推广应用。

Objective To study the effect of nursing midwife antepartum education on labor.Methods 300 primiparas coming from our hospital between April 2013 to April 2015 were randomly divided into observation group and the control group,each group 150 cases.The observation group received nursing midwife antepartum education before delivery,the control group received routine nursing.Compared the delivery mode,labor and effective matched rate of two groups.Results The spontaneous vaginal delivery rate in observation group was 93.33% significantly higher than that was 46.67% in the control group,the labor in observation group was significantly lower than that in control group （P〈 0.01）,the effective matched rate in observation group was 94.00% significantly higher than that was 79.33% in control group,the differences were statistically significant （x^2=13.962,P〈0.01）,the average amount of bleeding in the observation group was （159.04±7.19） ml,significantly less than that was （234.38±8.81） ml in control group ,the differences were statistically significant （t=81.143,P〈0.01）.Conelusion Nursing midwife antepartum education can effectively improve the early maternal natural childbirth confidence and improve the spontaneous vaginal delivery rate,shorten the labor, decrease postpartum hemorrbage.h has important clinical value.