实施助产服务路径后对硬膜外分娩镇痛产妇的分娩结局改善情况及泌乳始动的影响

Effect of Midwifery Service Path on the Improvement of Delivery Outcome and Lactation Initiation of Epidural Delivery Analgesia

目的探讨对硬膜外分娩镇痛产妇给予助产服务路径干预后对其分娩结局以及泌乳始动产生的影响。方法选取2019年1月至2020年12月收治的80例硬膜外分娩镇痛孕妇随机分为对照组(采用常规护理)和试验组(助产服务路径模式),各40例;比较两组患者产后第一次排尿时间、会阴侧切率、产后尿潴留发生率、产后2 h出血量、产后24 h出血量、第一产程、第二产程、泌乳始动以及产妇满意度。结果试验组产后第一次排尿时间比对照组短、会阴侧切率、产后尿潴留发生率均低于对照组(P<0.05);试验组产后2 h出血量(222.09±90.89)mL、产后24 h出血量(313.49±101.19)mL、第一产程(12.19±2.45)h、第二产程(1.96±0.22)h;同对照组产后2 h出血量(225.12±90.92)mL、产后24 h出血量(325.53±101.33)mL、第一产程(12.25±2.47)h、第二产程(1.97±0.23)h比较,未呈现出明显差异(P>0.05);试验组泌乳始动(4.82±1.22)h,短于对照组泌乳始动(9.07±1.25)h(P<0.05);试验组产妇满意度(95.00%)高于对照组(70.00%)(P<0.05)。结论助产服务路径的实施能够有效规范助产士服务行为,加强服务意识,提高助产服务质量,是硬膜外阵痛分娩产程管理的有效方法。

Objective To investigate the effect of midwifery service path intervention on delivery outcome and lactation initiation.Methods A total of 80 pregnant women with epidural labor analgesia treated from January 1,2019 to December 31,2020 were randomly divided into reference group(routine nursing)and experimental group(40 cases of midwifery service pathway),the first time of voiding,the rate of perineal lateral incision,the incidence of postpartum urinary retention,postpartum hemorrhage,postpartum 24 h bleeding,first stage of labor,second stage of labor,lactation initiation and maternal satisfaction were compared between the two groups.Results The first time of voiding in the experimental group was shorter than that in the reference group,the lateral perineal incision rate and the incidence of postpartum urinary retention were all lower than those in the two groups.In the reference group(P<0.05).In the test group,2-hour postpartum hemorrhage was(222.09±90.89)mL,24-hour postpartum hemorrhage was(313.49±101.19)mL,the first stage of labor was(12.19±2.45)h,the second stage of labor was(1.96±0.22)h.In the same group,2-hour postpartum hemorrhage was(225.12±90.92)mL,24-hour postpartum hemorrhage was(325.53±101.33)mL,the first stage of labor was(12.25±2.47)h,and the second stage of labor was(1.97±0.23),there was no significant difference(P>0.05).The lactation initiation of the experimental group(4.82±1.22)h was shorter than that of the reference group(9.07±1.25)h(P<0.05).The maternal satisfaction of the experimental group(95.00%)was higher than that of the reference group(70.00%)(P<0.05).Conclusion The implementation of midwifery service path can effectively standardize midwives'service behavior,strengthen service awareness and improve midwifery service quality.It is an effective method for labor process management of epidural labor.