助产士陪伴分娩模式对产妇分娩方式及产程的影响

The Effect of Delivery Mode Accompanied by Midwife on Delivery Mode and Delivery Process of Parturient

目的探究助产士陪伴分娩模式对产妇分娩方式以及产程时间的影响。方法方便择取2018年3月—2019年10月在该院即将分娩的孕产妇共110名为研究对象,以入院时间先后顺序分为两组,包括对照组和观察组,每组55名。对照组孕产妇进行常规护理,观察组孕产妇进行助产士陪伴分娩护理,对比两组孕产妇分娩方式、产程时间、产后2 h出血量以及新生儿Apgar评分。结果观察组阴道分娩率87.27%高于对照组65.45%(χ^2=7.253,P<0.05),剖宫产率3.64%低于对照组20.00%(χ^2=7.066,P<0.05),产程时间(365.35±22.18)min短于对照组(421.43±25.62)min(t=12.265,P<0.05),产后2 h出血量(30.72±6.35)mL少于对照组(55.34±7.22)mL(t=18.989,P<0.05),新生儿Apgar评分(9.35±0.43)分高于对照组(8.92±0.31)分(t=6.016,P<0.05),数据经比较差异有统计学意义(P<0.05)。结论助产士陪伴分娩护理模式的应用能够有效缩短孕产妇产程,提升阴道分娩率,因此该种护理模式值得在临床中进行应用。

Objective To explore the effect of the mode of delivery accompanied by midwives on the way of delivery and the time of delivery. Methods A total of 110 pregnant women who were about to give birth in the hospital from March 2018 to October 2019 were conveniently selected as the research objects. They were divided into two groups in the order of admission time, including a control group and an observation group, each group with 55 people. The pregnant women in the control group were given routine nursing care, and the pregnant women in the observation group were given birth care accompanied by a midwife. The two groups were compared with the two groups of women’s delivery methods, labor time, 2 h postpartum bleeding and newborn Apgar score. Results The vaginal delivery rate of the observation group was 87.27%higher than that of the control group 65.45%(χ^2=7.253,P<0.05), the cesarean section rate 3.64% was lower than the control group 20.00%(χ^2=7.066,P<0.05), the labor time(365.35±22.18) min was shorter than the control group(421.43±25.62) min(t=12.265,P<0.05), 2 h postpartum blood loss(30.72±6.35) mL was less than the control group(55.34±7.22) mL(t=18.989,P<0.05), the newborn Apgar score(9.35±0.43)points was higher than the control group(8.92±0.31) points(t=6.016,P<0.05),the data difference was statistically significant after comparison(P <0.05). Conclusion The application of midwife-accompanied delivery nursing model can effectively shorten the delivery process of pregnant women and increase the vaginal delivery rate. Therefore, this nursing model is worthy of clinical application.