无痛分娩联合助产士分娩陪护对分娩结局的影响

Effect of painless delivery combined with Doula delivery on delivery outcome

目的:分析无痛分娩联合助产士分娩陪护对分娩结局的影响。方法:2018年6月-2020年5月收治产妇180例,随机分为两组,各90例。对照组应用助产士分娩陪护;观察组采取无痛分娩+助产士分娩陪护。比较两组护理效果。结果:观察组自然分娩率高于对照组,阴道助产率及剖宫产率均低于对照组,差异有统计学意义(P<0.05);观察组第一产程、第二产程、第三产程、总产程时间均短于对照组,差异有统计学意义(P<0.05);观察组产妇第一产程、第二产程、第三产程的疼痛评分均低于对照组,差异有统计学意义(P<0.05);观察组产后7 d及28 d抑郁评分均低于对照组,差异有统计学意义(P<0,05);观察组产后尿潴留、产后出血、胎儿窘迫及新生儿窒息的发生率均低于对照组,差异有统计学意义(P<0.05);观察组住院时间及住院费用均低于对照组,差异有统计学意义(P<0.05)。结论:在产妇分娩中应用无痛分娩和助产士分娩陪护,有助于优化分娩方式,缩短产程时间和住院时间,减轻产后抑郁,并改善妊娠结局,减轻产妇家庭的经济压力。

Objective:To analyze the effect of painless delivery combined with Doula delivery on delivery outcome.Methods:From June 2018 to May 2020,180 cases of parturients were enrolled,they were randomly divided into two groups with 90 cases in each group.The control group was given Doula delivery.The observation group adopted painless delivery combined with Doula delivery.The nursing efficacy between the two groups was compared.Results:The natural delivery rate in the observation group was higher than that in the control group,the vaginal midwifery rate and cesarean section rate were lower than those of the control group,the differences were statistically significant(P<0.05).The first,second,third labor processes and total labor process of the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).The pain scores of the first,second and third labor processes in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The depression scores of 7 d and 28 d of postpartum in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidences of postpartum urinary retention,postpartum hemorrhage,fetal distress and neonatal asphyxia in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The lengths of hospital stay and costs of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of painless delivery combined with Doula delivery in maternal delivery is helpful to optimize the mode of delivery,shorten the time of labor and lengths of hospital stay,reduce postpartum depression,improve the outcome of pregnancy and reduce the economic pressure of maternal families.