助产士干预对孕妇顺产结局的影响分析

Analysis of the Effect of the Midwifery Intervention on Maternal Cisgender Outcomes

目的分析助产士干预对孕妇顺产结局的影响.方法选2018年11月至2019年11月92例产妇进行研究,采用随机数表法分为观察组(46例,助产士干预)与对照组(46例,常规护理).对比心理状态、分娩方式、妊娠结局、产程时间、护理满意度.结果治疗前,观察组患者SAS评分(50.13±5.19),SDS评分(52.46±5.43),对照组SAS评分(51.27±5.36),SDS评分(52.69±5.28).两组对比,差异无统计学意义(P>0.05);治疗后,观察组患者SAS评分(29.43±3.27),SDS评分(31.28±3.16)、对照组患者SAS评分(40.27±3.16),SDS评分(42.53±3.22).观察组患者SAS、SDS评分显著低于对照组,(P<0.05);观察组产妇阴道自然分娩率显著高于对照组(P<0.05);观察组患者不良妊娠率为2.17%,对照组患者不良妊娠率为23.91%,观察组产妇不良妊娠率显著低于对照组,(P<0.05);观察组患者第一产程时间为(368.26±63.27),第二产程时间为(42.67±8.52),对照组患者第一产程时间为(457.96±75.63),第二产程时间为(56.69±9.76).观察组产妇第一、第二产程时间显著低于对照组(P<0.05);观察组患者护理满意度为97.83%,对照组患者护理满意度为82.61%.观察组产妇护理满意度显著高于对照组(P<0.05).结论助产士干预可有效改善产妇消极心理状态,提高产妇自然分娩率,减少各产程所需时间,提高了产妇对护理满意度,对产妇妊娠结局具有积极影响,值得广泛推广使用.

Objective To analyze the effect of a midwifery intervention on the antepartum outcome of pregnant women.Methods 92 cases of maternity from November 2018 to November 2019 were selected for the study and divided into observation group(46 cases,midwifery intervention)versus control group(46 cases,usual care)using random number table.Psychological status,mode of delivery,pregnancy outcome,duration of labour,and satisfaction with care were compared.Results Before treatment,patients in the observation group had SAS scores of(50.13±5.19)and SDS scores of(52.46±5.43),while those in the control group had SAS scores of(51.27±5.36)and SDS scores of(52.69±5.28),P>0.05.After treatment,patients in the observation group had SAS scores of(29.43±3.27),SDS scores of(31.28±3.16),patients in the control group had SAS scores of 40.27±3.16,SDS scores of(42.53±3.22).The observed group had significantly lower SAS and SDS scores than the control group,(P<0.05)and a significantly higher rate of maternal vaginal spontaneous delivery in the observation group than the control group,(P<0.05)and an adverse pregnancy rate of 2.17%in the observation group than the control group,(P<0.05)and a significantly lower rate of maternal adverse pregnancy in the observation group than the control group,(P<0.05)and a time to first labor of 368.26±63.027,the time to the second stage of labor was(42.67±8.52),the time to the first stage of labor was(457.96±75.63),and the time to the second stage of labor was(56.69±9.76)in the control patients.The time between the first and second stage of labour was significantly lower in the observation group(P<0.05)and 97.83%of the patients’nursing satisfaction in the observation group compared with 82.61%of the patients’nursing satisfaction in the control group.Maternal nursing satisfaction in the observation group was significantly higher than that in the control group,(P<0.05).Conclusion The midwifery intervention was effective in improving maternal negative psychological status,increasing the rate of spontaneous maternal births,reducing the time required in all labour processes,increasing maternal satisfaction with care,and having a positive effect on maternal pregnancy outcomes,which merits widespread promotion.