分娩照护循证实践方案对产妇分娩结局及分娩体验的影响

Effects of an evidence-based childbirth care scheme on laboring women's delivery outcomes and childbirth experience

目的评价分娩照护循证实践方案对产妇分娩结局及分娩体验的影响。方法将372例阴道试产产妇随机分为干预组和对照组各186例,干预组接受分娩照护循证实践方案,对照组采用常规产程护理方案,比较两组分娩结局及分娩体验。结果干预组165例产妇和对照组150例产妇实施阴道分娩。干预组3个产程时间显著短于对照组,产后出血量显著少于对照组,分娩体验问卷总分及各维度评分显著高于对照组(P<0.05,P<0.01)。结论实施分娩照护循证实践方案有利于缩短产妇的产程,降低产后出血量,改善产妇的分娩体验。

Objective To evaluate the effects of an evidence-based childbirth care scheme on laboring women's delivery outcomes and childbirth experience.Methods A total of 372 labouring women were randomized into an intervention group and a control group,with 186 cases in each group.The intervention group received an evidence-based childbirth care scheme,while the control group received routine intrapartum care.The delivery outcomes and childbirth experience between the two groups were compared.Results Finally,165 women in the intervention group and 150 women in the control group gave birth vaginally.The lengths of three stages of labor in the intervention group were significantly shorter than those in the control group,its amount of postpartum hemorrhage was significantly less than thatin the control group,and the total score and each dimension score of Childbirth Experience Questionnaire in the intervention group were significantly higher than those in the control group(P<0.05,P<0.01).Conclusion Practice of the evidence-based childbirth care scheme can shorten the lengths of stages of labor,reduce the amount of postpartum hemorrhage,and improve laboring women's childbirth experience.