导乐联合自由体位待产对缩短产程及提升顺产的效果

Effect of Doula Combined with Free Position for Labor on Shortening Labor Course and Promoting Spontaneous Delivery

目的观察导乐联合自由体位待产对缩短产程及提升顺产的效果。方法选取2021年3月-2022年4月在我院待产的78例产妇为研究对象,采用随机数字表法分为对照组和观察组,各39例。对照组实施常规分娩护理干预,观察组在对照组基础上应用导乐联合自由体位干预,比较两组产妇分娩方式比例、不同产程时间、疼痛分级、新生儿Apgar评分、产后出血量、产妇和新生儿并发症发生率。结果观察组剖宫产率为20.51%,低于对照组的46.15%,阴道分娩率为79.49%,高于对照组的53.95%(P<0.05);观察组第一产程时间、第二产程时间均短于对照组(P<0.05);两组第三产程时间比较,差异无统计学意义(P>0.05);观察组0级、Ⅰ级疼痛发生率高于对照组,Ⅱ级、Ⅲ级疼痛发生率低于对照组(P<0.05);观察组新生儿Apgar评分高于对照组,产后出血量小于对照组(P<0.05);观察组产妇并发症发生率为7.69%,低于对照组的17.94%,新生儿并发症发生率为5.13%,低于对照组的12.82%(P<0.05)。结论导乐联合自由体位待产可缩短产程,提升顺产率,降低剖宫产率,减轻产妇疼痛,提高新生儿Apgar评分,减少产后出血量,预防产妇和新生儿并发症,具有较高的应用价值。

Objective To observe the effect of doula combined with free position for labor on shortening labor process and improving spontaneous labor.Methods From March 2021 to April 2022,78 parturients waiting for delivery in our hospital were selected as the research objects.They were divided into control group and observation group by random number table method,39 cases in each group.The control group was given routine delivery nursing intervention,and the observation group was given doula combined with free position intervention on the basis of the control group.The proportion of delivery mode,duration of different stages of labor,pain grading,neonatal Apgar score,postpartum hemorrhage,and incidence of maternal and neonatal complications were compared between the two groups.Results The cesarean section rate of the observation group was 20.51%,which was lower than 46.15%of the control group,and the vaginal delivery rate was 79.49%,which was higher than 53.95%of the control group(P<0.05).The first stage of labor and the second stage of labor in the observation group were shorter than those in the control group(P<0.05).There was no significant difference in the third stage of labor between the two groups(P>0.05).The incidence of grade 0 and grade I pain in the observation group was higher than that in the control group,and the incidence of grade II and grade III pain was lower than that in the control group(P<0.05).The Apgar score of newborns in the observation group was higher than that in the control group,and the amount of postpartum hemorrhage was less than that in the control group(P<0.05).The incidence of maternal complications in the observation group was 7.69%,which was lower than 17.94%in the control group,and the incidence of neonatal complications was 5.13%,which was lower than 12.82%in the control group(P<0.05).Conclusion Doula combined with free position for labor can shorten the labor process,improve the rate of natural delivery,reduce the rate of cesarean section,reduce maternal pain,improve neonatal Apgar score,reduce postpartum hemorrhage,and prevent maternal and neonatal complications.It has high application value.