GT-4A导乐分娩镇痛仪配合导乐陪伴分娩:助力安全舒适分娩

Clinical study on the promotion of natural delivery by non-drug delivery analgesics combined with guided delivery

目的探究GT-4A导乐分娩镇痛仪配合导乐陪伴分娩对自然分娩产妇的镇痛效果和舒适分娩影响。方法选取2018年1月至2018年12月于我院进行自然分娩的124例产妇为研究对象,按照随机数表法将所有产妇平均分为两组,观察组和对照组各62例。对照组产妇采取常规镇痛进行分娩,观察组产妇在对照组的基础上进行非药物分娩镇痛仪联合导乐分娩进行分娩。比较两组产妇第一产程、第二产程、第三产程时间;比较两组产妇镇痛效果;比较两组产妇分娩后自评焦虑量表(SAS)和自评抑郁量表(SDS)评分;比较两组母婴结局。结果观察组产妇第一产程时间424.87±67.84min,对照组产妇第一产程时间473.45±102.38min,且观察组产妇第二产程时间、第三各产程时间均短于对照组产妇,P<0.05。疼痛分级比较发现,观察组产妇0级10例(16.13%)、1级24例(38.71%)、2级19例(30.65%),3级9例(14.52%),对照组产妇0级3例(4.84%)、1级16例(25.81%)、2级18例(29.03%)、3级25例(40.32%),两组比较差异明显(均P<0.05)P<0.05。两组产妇SAS、SDS评分比较发现,观察组产妇SAS评分(42.17±6.83)分、SDS评分(44.06±5.98)分,对照组产妇SAS评分(53.67±8.33)分、SDS评分(54.58±7.39),观察组均低于对照组(均P<0.05)。观察组新生儿Apgar评分高于对照组,而产后2h出血量、新生儿窒息发生率均低于对照组(均P<0.05)。结论非药物分娩镇痛仪联合导乐分娩能够缩短产妇产程,降低产妇疼痛程度,有利于降低产后焦虑和抑郁情绪的发生。

Objective To explore the analgesic effect of GT-4A doula childbirth analgesia instrument combined with doula accompanying childbirth on natural delivery women and the effect of comfortable deliveryTo investigate the analgesic effect and clinical effect of non-drug delivery analgesics combined with guided delivery in pregnant women with natural childbirth..Methods From January 2018 to December 2018,124 cases of pregnant women who gave birth naturally in our hospital were selected as research objects.According to the random number table method,all pregnant women were divided into two groups on average,62 cases in observation group and 62 cases in control group.Routine analgesia was used for delivery in the control group,and non-drug delivery analgesia combined with doula was used for delivery in the observation group.The first,second and third stages of labor were compared between the two groups.The analgesic effect of the two groups was compared.The scores of self-rated anxiety scale(SAS)and self-rated depression scale(SDS)were compared between the two groups.Maternal and infant outcomes were compared between the two groups.124 women who gave birth naturally in our hospital from January 2018 to December 2018 were selected as the subjects,and all women were divided into two groups on average according to the stochastic table method,and 62 cases were observed in the observation Group and control group.The women in the control group took the non-drug delivery analgesic instrument to give birth,and the mothers in the observation group combined the lead delivery to give birth on the basis of the control group.The first stage of labor,the second stage of Labor and the third stage of labor were compared between the two groups,the analgesic effects of the two groups were compared,and the scores of self-assessment Anxiety scale(SAS)and self-assessment Depression Scale(SDS)were compared between the two groups of mothers.Results The duration of labor was shorter in the observation group than in the control group(P<0.05).Comparison of pain grades showed that in the observation group,there were 10 cases of grade 0(16.13%),24 cases of grade 1(38.71%),19 cases of grade 2(30.65%),and 9 cases of grade 3(14.52%).In the control group,there were 3 cases of grade 0(4.84%),16 cases of grade 1(25.81%),18 cases of grade 2(29.03%),and 25 cases of grade 3(40.32%),with significant differences between the two groups(all P<0.05).The comparison of MATERNAL SAS and SDS scores between the two groups showed that the observation group received 42.17±6.83 and 44.06±5.98 SAS scores,while the control group received 53.67±8.33 and 54.58±7.39 SAS scores,all of which were lower than the control group(All P<0.05).Apgar score of newborns in the observation group was higher than that of the control group,while the 2h postpartum blood loss and the incidence of neonatal asphyxia were lower than those in the control group(all P<0.05).The first stage of labor in the observation group was 424.87±67.84min,the first stage of labor in the control group was 473.45±102.38min,and the second stage of Labor and the third stage of Labor in the observation group were shorter than those in the control group,p<0.05.Pain grading comparison found that the observation group of maternal level 010 cases(16.13%),1 levels 24 cases(38.71%),2 levels 19 cases(30.65%),3 in 9 cases(14.52%),the control group 0 Cases 3 cases(4.84%),1 levels 16 case(25.81%),Level 218 cases(29.03%),325 cases(40.32%),p<0.05.Two groups of maternal SAS,SDS score comparison found that the observation Group of maternal SAS score 42.17±6.83,SDS score 44.06±5.98,control group maternal SAS score 53.67±8.33,SDS score 54.58±7.39,p<0.05.Conclusion Non-drug delivery analgesia combined with doula delivery can shorten the labor process,reduce the degree of maternal pain,and is beneficial to reduce the incidence of postpartum anxiety and depression.Non-drug delivery analgesics combined with guided delivery can shorten the labor stage of maternity,reduce the degree of maternal pain,and help to reduce the occurrence of postpartum anxiety and depression.