体验式分娩工作站对提高自然分娩率的影响

Effect of exoerience - based delivery workstation on increasing natural labor rate

目的探索一套体验式分娩工作站，以此开展模拟分娩教学，达到提高自然分娩率的作用。方法选择2014年6月至2015年4月期间本院340例孕妇进行前瞻性研究，按照数字表法随机分为2组，观察组172例进行以体验式分娩工作站的模拟分娩教学；对照组168例进行以传统的课堂孕期健康教育，对比分析两组在自然分娩率、第一第二产程时间的差异。结果观察组的自然分娩率为77．35％而显著地高于对照组的60．71％（x2=10．99，P〈0．05），观察组的第一产程[（503±61）min]及第二产程[（52±13）min]分别显著地短于对照组【（587±79）min、（71±26）min]（Z=8．90、Z=6．76，P〈0．05）。结论以体验式分娩工作站进行的孕期健康教育可以缩短产妇的第一第二产程、提高孕妇自然分娩率，优于传统的课堂式孕期健康教育。

Objective To explore a set of experience type delivery work station, in order to carry out the simulation of childbirth teaching, to improve the natural labor rate. Methods 340 pregnant women in our hospital from June 2014 to April 2015 were selected for prospective study and randomly divided into two groups. 172 cases in observation group received simulate childbirth teaching in experience delivery workstation, while 168 cases in control group received traditional classroom health education during pregnancy. The natural labor rate, the first, second stage of labor were compared between two groups. Results The natural labor rate in observation group was 77.35%, significantly higher than 60.71% in control group （x2=10.99, P〈0.05）. The first, second stage of labor of observation group were significantly shorter than those of control group [（503±61）min vs.（587±79）min, （52±13）min vs.（71±26）min; Z=8.90, 6.76, P〈0.05]. Conclusion Health education during pregnancy based on experience delivery workstation can shorten the first, second stage of labor, improve the natural labor rate, which is better than traditional classroom health education during pregnancy.