助产士与中晚期孕产妇提前建立密切关系对分娩结局影响的临床实践研究

Clinical Practice Study on the Effect of Midwife Establishing Close Relationship with Pregnant Women at Mid-late Stage Ahead on Delivery Outcome

目的研究助产士与中晚期孕产妇提前建立密切关系对分娩结局影响的临床实践效果。方法随机数表法将本院2018年10月至2019年6月诊治的120例中晚期孕产妇患者分为干预组与对照组,各60例,对照组给予常规干预,干预组在对照组的基础上给予助产士与中晚期孕妇提前建立密切关系干预。观察并比较两组产妇分娩方式、新生儿结局、产程以及产后出血量。结果干预组产妇自然分娩率明显高于对照组(81.67%vs65.00%)(P<0.05);两组新生儿窒息发生率无明显差异(P>0.05),但是干预组新生儿窘迫发生率明显低于对照组(P<0.05);干预组产妇第一产程、第二产程、总产程以及产后出血量明显低于对照组(P<0.05),但两组新生儿出生体重无显著差异(P>0.05)。结论助产士与中晚期孕产妇提前建立密切关系可提高自然分娩率,缩短产程,改善母婴结局。

Objective To study the clinical practice effect of midwife establishing close relationship with pregnant and lyingin women at mid-late stage ahead on delivery outcome.Methods 120 pregnant women at mid-late stage who were admitted to the hospital from October 2018 to June 2019 were divided into the intervention group and the control group by random number table method,60 cases in each group.The control group was given routine intervention.On the basis,the intervention group established close relationship with midwives ahead.The delivery mode,neonatal outcomes,stages of labor and postpartum blood loss were observed and compared between the two groups.Results The natural delivery rate of the intervention group was significantly higher than that of the control group(81.67%vs65.00%)(P<0.05).There was no significant difference in the incidence of neonatal asphyxia between the two groups(P>0.05),but the incidence of neonatal distress was significantly lower than that in the control group(P<0.05).The first,second and total stages of labor,and postpartum blood loss of the intervention group were significantly shorter/less than those of the control group(P<0.05).There was no significant difference in birth weight between the two groups(P>0.05).Conclusion The early establishment of a close relationship between midwives and pregnant women at mid-late stage can increase the rate of natural delivery,shorten stages of labor,and improve maternal and neonatal outcomes.