温柔分娩在初产妇分娩中的应用效果评价

Evaluation of Application Effects of Gentle Delivery in Delivery of Primiparae

目的探讨温柔分娩在初产妇分娩中的应用效果。方法选取2018年1月—2019年3月在本院产科接受温柔分娩理念服务的初产妇120例为观察组,同期接受常规孕产期保健服务的初产妇120例为对照组。观察两组初产妇负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]变化情况,比较两组初产妇分娩认知水平、检查治疗依从性、宫缩疼痛、剖宫产率、分娩并发症差异性。结果两组初产妇干预后SAS、SDS评分均较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组初产妇分娩认知水平、检查治疗依从性均高于对照组,宫缩疼痛评分、剖宫产率低于对照组,差异有统计学意义(P<0.05),会阴切开、会阴水肿发生率低于对照组,差异有统计学意义(P<0.05);两组产后尿潴留、产后出血、伤口感染、新生儿窒息等发生率比较,差异无统计学意义(P>0.05)。结论温柔分娩有助于改善初产妇产期心理状态和认知水平,提高依从性和疼痛耐受能力,有效减少剖宫产和会阴切开、会阴水肿的发生。

Objective To investigate the application effects of gentle delivery in delivery of primiparae.Methods A total of 120 primiparae who received gentle delivery in the obstetrics department of the hospital from January 2018 to March 2019 were selected as the observation group,and 120 primiparae who received routine health care services during pregnancy and delivery were selected as the control group.The negative emotions[Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)]of primiparae were observed in the two groups.The delivery cognitive level of primiparae,examination treatment compliance,uterine contraction pain,cesarean section rate and delivery complications were compared between the two groups.Results The scores of SAS and SDS in the two groups were lower than those before intervention,and the scores in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The delivery cognitive level and examination treatment compliance in the observation group were higher than those in the control group while the uterine contraction pain score and cesarean section rate were lower than those in the control group,the difference was statistically significant(P<0.05).The incidence rates of perineal incision and perineal edema were lower than those in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence rates of postpartum urinary retention,postpartum hemorrhage,wound infection and neonatal asphyxia between the two groups(P>0.05).Conclusion Gentle delivery can help improve the psychological status and cognitive level of primiparae,improve compliance and pain tolerance,and effectively reduce the occurrence of cesarean section,perineal incision and perineal edema.