导乐分娩对不同年龄段初产妇产程、妊娠结局及新生儿评分的影响

Influence of Doula delivery on the stages of labor,pregnancy outcomes in primiparas and neonatal scores at different ages

目的探讨导乐分娩对不同年龄段初产妇产程、妊娠结局及新生儿评分的影响。方法选取2018年9月~2019年9月我院收治的90例待产初产妇,按照随机数字表法分为对照组(45例)与观察组(45例)。对照组中,<25岁15例,25~<30岁15例,≥30岁15例。观察组中,<25岁15例,25~<30岁15例,≥30岁15例。对照组实施常规分娩模式,观察组实施导乐分娩模式,比较两组不同年龄段初产妇的产程、分娩疼痛程度(VAS评分)、分娩方式、妊娠结局及新生儿评分。结果观察组初产妇的产程、VAS评分、剖宫产率低于对照组,初产妇分娩后新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05);观察组中,<25岁、≥30岁初产妇的不良妊娠结局发生率低于对照组,差异有统计学意义(P<0.05);两组25~<30岁初产妇的不良妊娠结局发生率比较,差异无统计学意义(P>0.05);两组25~<30岁初产妇的产程、VAS评分低于<25岁、≥30岁,新生儿Apgar评分高于<25岁、≥30岁,≥30岁初产妇的产程低于<25岁,差异有统计学意义(P<0.05);两组<25岁与≥30岁初产妇的VAS评分、新生儿Apgar评分比较,差异无统计学意义(P>0.05);两组不同年龄段初产妇的不良妊娠结局发生率比较,差异无统计学意义(P>0.05)。结论实施导乐分娩对不同年龄段初产妇的分娩均有一定效果,可有效减少不良妊娠结局,提高自然分娩率,保证母婴安全。

Objective To investigate the influence of Doula delivery on the the stages of labor,pregnancy outcomes in primiparas and neonatal scores at different ages.Methods A total of 90 primiparas awaiting delivery who were admitted to our hospital from September 2018 to September 2019 were selected.They were divided into the control group(n=45)and the observation group(n=45)according to the random number table method.In the control group,15 cases were under 25 years old,15 cases were 25-<30 years old,and 15 cases were over 30 years old.In the observation group,15 cases were under 25 years old,15 cases were 25-<30 years old,and 15 cases were over 30 years old.The control group was given conventional delivery mode,and the observation group was given Doula delivery mode.The stages of labor in primiparas at different ages,degree of labor pain(visual analogue scale[VAS]score),the mode of delivery,pregnancy outcomes and the neonatal score were compared between the two groups.Results The stages of labor in primiparas,VAS score,and cesarean section rate in the observation group were all lower than those in the control group,the Apgar score of the neonates after delivery in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcomes at sections of<25 years old and≥30 years old in the observation group were lower than those in the control group,with statistical difference(P<0.05).There was no significant difference in the incidence of adverse pregnancy outcomes between the two groups of primiparas aged 25-<30 years old(P>0.05).The stages of labor and the VAS scores of primiparas aged 25-<30 years old were lower than those of<25 years old and≥30 years old between the two groups,the Apgar scores of newborns of primiparas aged 25-<30 years old were higher than those of<25 years old and≥30 years old between the two groups,and the labor process of primiparas aged≥30 years was lower than that of<25 years old between the two groups,the differences were statistically significant(P<0.05).There was no significant difference in the VAS score and neonatal Apgar score between<25 years old and≥30 years old in the two groups(P>0.05).There was no significant difference in the incidence of adverse pregnancy outcomes in primiparas at different ages between the two groups(P>0.05).Conclusion The implementation of Doula delivery has a certain effect on the delivery of primiparas of different ages,which can effectively reduce the adverse pregnancy outcomes,increase the natural delivery rate,and ensure the safety of mothers and infants.