第二产程直立位分娩实践方案的可行性研究

The feasibility evaluation of the practice programme for upright positions in the second stage of labour

目的评价第二产程直立位分娩实践方案的可行性。方法在河北省某三级甲等医院的产科,按照第二产程直立位分娩实践方案进行分娩体位管理。通过评价产妇的参与和依从情况、成本投入、实施者体验和建议、产妇体验和建议分析方案的可行性。结果产妇参与和依从情况:共招募20名产妇,在16名同意参与研究的产妇中有12名在第二产程中使用了方案。成本投入:实施方案的助产照护时长较少,助产人力资源投入较多,设备材料能够满足需求。实施者体验和建议:方案的实施过程具有可行性,方案的接受度较好,但部分内容仍需细化,培训内容和形式仍需完善。产妇体验和建议:方案的实施能够改善产妇的分娩体验,产妇接受和认可方案,建议方案的宣教惠及更多孕产妇。结论方案的初步应用具有较好的可行性。

Objective To evaluate the feasibility of the practice programme for upright positions in the second stage of labour.Methods The practice programme for upright positions in the second stage of labour was implemented in the birth position management in a tertiary hospital in Hebei province.The feasibility analysis was conducted by assessing maternal participation and compliance,cost input,experience and suggestions of midwives,obstetricians,and parturients.Results For maternal participation and compliance,a total of 20 parturients were recruited,and 16 of which agreed to participate in this study.Twelve parturients completed the whole study.In terms of cost input,midwives spent less time attending to parturients,the demand for midwifery human resources was relatively high,and the equipment and materials could meet the needs.As for experience and suggestions of midwives and obstetricians,the implementation process was feasible,and the practice programme was well accepted.However,some contents needed to be refined,and the content and form of the training program needed to be improved.For maternal experience and suggestions,the implementation can improve childbirth experience,and parturients accepted the use of upright positions.However,the education on upright positions should be available for more pregnant women.Conclusion The feasibility of this practice programme in preliminary application is good.