陪伴分娩对初产妇分娩疼痛及分娩结局的影响研究

Study on the Influence of Accompany Delivery on the Delivery Pain and Delivery Outcome of Primipara

目的探讨陪伴分娩对初产妇分娩疼痛及分娩结局的影响。方法选取产房待产的初产妇150例,随机分为观察组和对照组,各75例。对照组为其实施责任制助产护理,观察组在此基础上增加家属陪伴分娩。采用视觉模拟评分法,让两组产妇在潜伏期、早活跃期、晚活跃期及宫口开全时,标记出所能代表自身疼痛程度的数字。另选择20例分娩后的产妇进行深度访谈。结果观察组的VAS评分及疼痛程度在潜伏期、早活跃期均低于对照组(P<0.05);观察组在第一产程及总产程的时间短于对照组(P<0.05)。访谈结果显示100%的产妇需要陪伴分娩。结论实施陪伴分娩更符合初产妇的身心需求,能有效降低初产妇的分娩疼痛,促进自然分娩。

Objective To investigate the influence of accompany delivery on the delivery pain and delivery outcome of primipara. Methods 150 cases of primipara from delivery room were randomly divided into observation group and control group, 75 cases in rach group. The control group was given the responsibility of midwifery care, observation group on the basis of the increase in family members to accompany delivery. The visual analogue scale was used to make the two groups of pregnant women in the latent period, early active period, late active phase and the mouth opening, marking out the number of pain can represent their own. Another 20 pregnant women after delivery were depthinterviewed. Results The VAS score and the degree of pain in the observation group were lower than those in the control group （P 〈 0.05） in the latent period and the early active period. The observation group was shorter than the control group on the first stage of labor and total stage of labor（P 〈 0.05）. The results of the interviewed show that 100% of the puerperas need to accompany delivery. Conclusion The implementation of companion delivery is more in line with the physical and mental needs of primipara, can effectively reduce the pain of primipara childbirth, promote natural childbirth.