责任助产在产房护理中的应用效果及对产后出血量的影响

Application effect of responsible midwifery in delivery room nursing and its influence on postpartum hemorrhage

目的探讨责任助产在产房护理中的应用效果及对产后出血量的影响。方法选取2020年3月至2022年3月于本院分娩的100例产妇作为研究对象,以随机数字表法将其分为对照组和观察组,各50例。对照组给予常规助产护理,观察组在常规助产护理基础上实施责任助产护理。比较两组的护理效果。结果观察组的第一、二、三产程时间短于对照组,产后2 h出血量少于对照组,差异具有统计学意义(P<0.05)。观察组的顺产率高于对照组,转剖宫产率低于对照组,差异具有统计学意义(P<0.05)。护理前,两组的抑郁自评量表(SDS)与焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05);护理后,两组的SDS、SAS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组的新生儿不良结局及产妇并发症总发生率均低于对照组,差异具有统计学意义(P<0.05)。结论在产房护理中实施责任助产护理能有效提升产妇自然分娩率,确保母婴安全,也能有效缓解产妇负性情绪,缩短产程时间,减少产后出血量,降低并发症发生率,获得显著护理效果。

Objective To explore the application effect of responsible midwifery in delivery room nursing and its influence on postpartum hemorrhage.Methods A total of 100 parturients who gave birth in our hospital from March 2020 to March 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine midwifery care,and the observation group was given responsible midwifery care on the basis of routine midwifery care.The nursing effects of the two groups were compared.Results The first,second and third stages of labor in the observation group were shorter than those in the control group,and the 2 h postpartum hemorrhage was less than that in the control group,and the differences were statistically significant(P<0.05).The natural birth rate of the observation group was higher than that of the control group,and the rate of cesarean section conversion was lower than that of the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)between the two groups(P>0.05);after nursing,the scores of SDS and SAS in the two groups decreased,and those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse neonatal outcomes and maternal complications in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Implementing responsible midwifery nursing in delivery room can effectively improve the natural delivery rate of parturients,ensure the safety of mothers and infants,effectively alleviate the negative emotions of parturients,shorten the time of labor,reduce the amount of postpartum hemorrhage,reduce the incidence of complications,and obtain significant nursing effect.