导乐分娩球配合自由体位助产对初产妇心理状态、分娩结局及服务满意度的影响

Effect of Doula delivery ball combined with midwifery on free position on psychological status,delivery outcomes and service satisfaction of primiparas

目的:探究导乐分娩球配合自由体位助产对初产妇心理状态、分娩结局及服务满意度的影响。方法:回顾性分析2016年10月-2017年12月我院经导乐分娩球配合自由体位助产(观察组)及经传统体位待产及分娩(对照组)的初产妇各98例临床资料。比较两组分娩前及分娩后焦虑、抑郁情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]差异,并记录两组分娩结局(自然分娩、阴道助产、剖宫产)、自然分娩产妇产程时间及服务满意度差异。结果:分娩后,观察组SAS、SDS评分与分娩前比较,差异无统计学意义(P>0.05);而对照组SAS、SDS评分均较分娩前升高(P<0.05),且高于观察组(t=-13.214,-10.986;P<0.05)。两组阴道助产率比较,差异无统计学意义(P>0.05);观察组自然分娩率明显高于对照组(P<0.05),而剖宫产率明显低于对照组(P<0.05)。观察组自然分娩产妇第一产程、第二产程、第三产程时间及总产程时间均低于对照组(t=-15.540,-9.460,-17.099,-18.964;P<0.05)。观察组服务满意度明显优于对照组(Z=3.399.P<0.05)。结论:导乐分娩球配合自由体位助产对初产妇心理状态改善效果显著,也能促进产程顺利进行,提高医疗服务质量,临床使用价值较高。

Objective:To explore the effects of Doula delivery ball combined with midwifery on free position on psychological status,delivery outcomes and service satisfaction of primiparas.Methods:The clinical data of each 98 cases of primiparas who were given Doula delivery ball combined with midwifery on free position(observation group)and traditional position pre-delivery and delivery(control group)in our hospital from October 2016 to December 2017 were retrospectively analyzed.The anxiety and depression[Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)]were compared between the two groups before and after delivery.The delivery outcomes(natural delivery,vaginal midwifery,cesarean section),and labor time and service satisfaction of puerperae with natural labor delivery were recorded in the two groups.Results:After delivery,the scores of SAS and SDS in observation group were not significantly different from those before delivery(P>0.05).The scores of SAS and SDS in control group were higher than those before delivery(P<0.05),and were higher than those in observation group(t=-13.214,-10.980;P<0.05).There was no significant difference in vaginal midwifery rate between the two groups(P>0.05).The natural delivery rate in observation group was significantly higher than that in control group(P<0.05)while the cesarean section rate was significantly lower than that in control group(P<0.05).The times of first stage of labor,second stage of labor and third stage of labor and the total labor time of puerperae with natural labor delivery in observation group were lower than those in control group(t=-15.540,-9.460,-17.099,-18.964;P<0.05).The service satisfaction in observation group was significantly better than that in control group(Z=3.399,P<0.05).Conclusion:Doula delivery ball combined with midwifery on free position has significant improvement effects on the psychological status of primiparas,and it can also promote the smooth progress of labor process,and improve the quality of medical services,and has a high clinical application value.