家属及导乐陪伴分娩联合全责任制助产的临床应用

Clinical application of family and Doula delivery combined with full responsibility midwifery

目的探究家属及导乐陪伴分娩联合全责任制助产的临床效果。方法择取2016年12月~2017年12月本院接收的184例产妇,随机分成对照组和研究组,每组92例。对照组采用全程责任制助产,研究组采用家属及导乐陪伴分娩联合全责任制助产,观察比较两组产妇的分娩分式、各产程以及总产程时间、对助产工作的满意度。结果研究组自然分娩率为80.4%,剖宫产率为16.3%,对照组自然分娩率为57.6%,剖宫产率为37.0%,研究组自然分娩率高于对照组,剖宫产率低于对照组,差异有统计学意义(P<0.05);研究组各产程以及总产程时间均短于对照组,差异有统计学意义(P<0.05);研究组产妇对助产工作满意度为98.9%,对照组产妇对助产工作满意度为89.1%,研究组产妇对助产工作满意度高于对照组,差异有统计学意义(P<0.05)。结论在产妇产期采用家属及导乐陪伴分娩联合全责任制助产可取得良好效果,保障了分娩质量,体现了以人为本服务理念,值得推广。

Objective To explore the clinical effect of family and Doula delivery combined with full responsibility midwifery. Methods 184 preg- nant women admitted to our hospital from December 2016 to December 2017 were randomly divided into the control group and the study group, 92 cases in each group. The control group adopted the full responsibility system, and the study group adopted the family and the doula accompany deliv- ery combined with the full responsibility system, and observed the delivery fraction of the two groups, the birth process, the total labor time and the satisfaction of the midwifery. Results The natural delivery rate of the study group was 80.4%, the cesarean section rate was 16.3%, the natural deliv- ery rate of the control group was 57.6%, the cesarean section rate was 37.0%. The natural delivery rate of the study group was higher than the control group, the cesarean section rate was lower than the control group, the difference was statistically significant （P〈O.05）, and the total birth process and total labor history time of the study group were shorter than the control group. The difference was statistically significant （P 〈0.05）; the degree of satisfaction of parturients to midwifery was 98.9% in the study group and 89.1% in the control group for midwifery. The degree of satisfaction of parturients in the study group was higher than that of the control group （P〈O.05）. Conclusion In the maternity period, the use of family members and guided music delivery combined with full responsibility system can achieve good results, guarantee the quality of delivery and reflect the concept of ＂people-oriented＂ service, which is worth popularizing.