导乐陪伴式分娩护理对产妇分娩结局的影响

Effects of Doula delivery on parturient delivery outcomes

目的:探讨导乐陪伴式分娩护理对产妇分娩结局的影响。方法:选取待分娩的220名产妇为研究对象,采用随机数字表法分为观察组和对照组,每组110名。对照组予常规分娩护理,观察组予导乐陪伴式分娩护理,比较两组分娩方式,产程时间与疼痛程度,新生儿Apgar评分及窒息发生率。结果:观察组自然分娩率为92.73%,高于对照组的79.09%,差异有统计学意义(P<0.05)。观察组第一、第二产程时间短于对照组,视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.05);两组第三产程时间比较,差异无统计学意义(P>0.05)。观察组新生儿Apgar评分高于对照组,新生儿窒息发生率低于对照组,差异均有统计学意义(P<0.05)。结论:导乐陪伴式分娩护理可提高产妇自然分娩率,减轻分娩疼痛,促进母婴健康。

Objective:To explore effects of Doula delivery on parturient delivery outcomes.Methods:220 parturients were selected as the research subjects,and were divided into observation group and control group by using the random number table method,110 cases in each group.The control group was given routine delivery nursing,while the observation group used the Doula delivery nursing.The delivery mode,labor time,pain degree,neonatal Apgar score,and incidence of asphyxia were compared between the two groups.Results:The spontaneous delivery rate in the observation group was 92.73%,which was higher than 79.09%in the control group,and the difference was statistically significant(P<0.05).The time of the first and second stages of birth in the observation group were shorter than those in the control group,the VAS score was lower than that of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the time of the third stage of labor between the two groups(P>0.05).Further,the Apgar score of the neonates in the observation group was higher than that in the control group,the incidence of neonatal asphyxia was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Doula delivery can improve the spontaneous delivery rate,reduce the labor pain and improve the maternal and child health.