导乐陪伴辅助分娩与拉玛泽呼吸法联合在初产妇中的应用效果

Effect of Doula Company Assisted Delivery Combined with Lamaze Breathing Method for Primipara

目的:探究导乐陪伴辅助分娩结合拉玛泽呼吸法在初产妇分娩中的临床效果。方法:选取2019年1-12月本院117例初产妇作为观察对象,依据抽签法将其分为对照组(n=58)与观察组(n=59)。对照组给予导乐陪伴辅助分娩,观察组给予导乐陪伴辅助分娩联合拉玛泽呼吸法。对比两组的自然分娩率、剖宫产率、产后出血率及新生儿窒息率。对比两组自然分娩产妇各产程时间、疼痛和分娩控制感评分。结果:观察组的自然分娩率高于对照组,剖宫产率、产后出血率以及新生儿窒息率均低于对照组(P<0.05)。两组自然分娩产妇第三产程时间比较,差异无统计学意义(P>0.05);观察组自然分娩产妇第一、二产程时间均短于对照组(P<0.05)。观察组自然分娩产妇NRS评分低于对照组,而LAS评分高于对照组(P<0.05)。结论:导乐陪伴辅助分娩结合拉玛泽呼吸法进行分娩对初产妇临床助产效果显著,有助于提高产妇耐痛性,缩短产程,减少新生儿不良反应,临床值得推广。

Objective:To explore the clinical effect of Doula company assisted delivery combined with Lamaze breathing method in primipara’s delivery.Method:A total of 117 primiparas in our hospital from January to December 2019 were selected as observation objects and divided into control group(n=58)and observation group(n=59)according to lottery method.The control group was given Doula company assisted delivery,and the observation group was given Doula company assisted delivery combined with Lamaze breathing method.The rates of natural delivery,cesarean section,postpartum bleeding and neonatal asphyxia were compared between the two groups.The time of labor,pain and sense of birth control scores were compared between natural parturients in the two groups.Result:The natural delivery rate of the observation group was higher than that of the control group,and the cesarean section rate,postpartum hemorrhage rate and neonatal asphyxia rate were lower than those of the control group(P<0.05).There was no significant difference in the third stage of labor between natural parturients in the two groups(P>0.05).The time of the first and second stages of labor in natural parturients of the observation group were shorter than those in the control group(P<0.05).NRS score in natural parturients of the observation group was lower than that in the control group,while LAS score was higher than that in the control group(P<0.05).Conclusion:Doula company assisted delivery combined with Lamaze breathing method for delivery has a significant effect on the clinical delivery of primiparas,which is helpful to improve the pain tolerance of the puerpera,shorten the birth process,and reduce the adverse effects of the newborn,it is clinically worthy of promotion.