一对一责任制陪伴分娩联合无创接生法在无创分娩中的应用

Application of one-to-one responsibility to accompany delivery combined with noninvasive delivery in noninvasive childbirth

目的探讨一对一责任制陪伴分娩联合无创接生法在无创分娩中的应用效果。方法将我院妇产科自2014年2月至2016年2月收治单胎自然分娩的足月产妇3 500例作为研究对象,随机将其分为研究组和对照组,每组1 750例。研究组产妇选择一对一责任陪伴分娩联合无创接生,对照组产妇选择常规服务模式进行传统接生,观察并比较两组产妇的分娩过程、分娩结局的各项指标。结果两组产妇第二产程时间、新生儿窒息发生率比较,差异不具有统计学意义(P>0.05),研究组产妇的产后出血量、会阴切开率、会阴Ⅱ度裂伤、会阴水肿等发生率显著低于对照组,差异具有统计学意义(P<0.05);研究组产妇的满意度、会阴完整率和会阴Ⅰ度裂伤率显著高于对照组,差异具有统计学意义(P<0.05)。结论一对一责任制陪伴分娩联合无创接生,可有效降低产后出血量、会阴切开率、会阴水肿,提高产妇满意度,产妇产后恢复比较快,该方法简单、安全、有效,可推广使用。

Objective To investigate the application of one-to-one responsibility to accompany delivery combined with noninvasive delivery in noninvasive childbirth. Methods From February 2014 to February 2016, 3 500 cases of single-birth mature puerperas with spontaneous delivery were selected as the research objects, which were randomly divided into observation group and control group, with 1 750 cases in each group. Patients in the observation group were given one-to- one responsibility to accompany delivery combined with noninvasive delivery, while patients in the control group received traditional delivery service. The data of delivery process and the birth outcomes were compared between the two groups. Results The second stage of labor time and the incidence of neonatal asphyxia had no significant difference between the two groups （P〉0.05）. The incidence of postpartum hemorrhage, perineal incision, the second degree of perineal laceration, and perinal edema in the observation group were significantly lower than those in the control group （P〈0.05）. The rate of satisfaction, perineal integrity and the first degree of laceration in observation group were significantly higher than those in the control group （P〈0.05）. Conclusion One-to-one responsibility to accompany delivery combined with noninvasive delivery can effectively reduce the rate of postpartum hemorrhage, perineal incision, perineal edema, improve maternal satisfaction, and accelerate postpartum recovery. The method is simple, safe and effective, which should be widely used.