不同助产方式对阴道分娩产程及并发症的影响

The Influence of Different Midwifery Methods on the Labor Process and Complications of Vaginal Delivery

目的:探讨不同助产方式对阴道分娩产程及并发症的影响。方法:选取华润武钢总医院2021年6月-2022年5月经阴道分娩的126例产妇作为研究对象,根据助产方式不同分为对照组和观察组,各63例,对照组采用常规助产,观察组采取全程导乐助产。记录并比较两组产妇的产程情况、会阴结局情况、母婴并发症发生情况、满意度情况。结果:观察组第一、二、三产程及总产程均比对照组缩短(P<0.05);观察组会阴侧切率低于对照组,会阴完整率、会阴裂伤程度Ⅰ度均高于对照组,Ⅱ度明显低于对照组(P<0.05);观察组产后尿潴留、产褥期感染、产后出血及新生儿窒息等并发症总发生率明显低于对照组(P<0.05);观察组产妇满意度明显高于对照组(P<0.05)。结论:全程导乐可有效缩短阴道分娩产妇的产程,降低并发症发生率,提高产妇的满意度,母婴结局良好,值得临床应用和推广。

Objective:To explore the influence of different midwifery methods on the labor process and complications of vaginal delivery.Method:A total of 126 cases of vaginal delivery in CR&WISCO General Hospital from June 2021 to May 2022 were selected as research objects,and were divided into control group and observation group according to different methods of midwifery,with 63 cases in each group.The control group received conventional midwifery,and the observation group received doula midwifery.The labor process,perineal outcome,maternal and infant complications and satisfaction of the two groups were recorded and compared.Result:The time of the first,second and third stage of labor and the total stage of labor in the observation group were shorter than those in the control group(P<0.05);the perineal lateral resection rate in the observation group was lower than that in the control group,the perineal integrity rate and perineal cracking degreeⅠwere higher than those in the control group,and the perineal cracking degreeⅡwere significantly lower than that in the control group(P<0.05);the total incidence of postpartum urinary retention,puerperal infection,postpartum hemorrhage and neonatal asphyxia in the observation group was significantly lower than that in the control group(P<0.05);the satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:Whole-course doula can effectively shorten the labor process of vaginal delivery,reduce the incidence of complications,improve maternal satisfaction,maternal outcome is good,worthy of clinical application and promotion.