责任制助产护理对初产妇分娩方式及产程的影响

Effect of responsibility midwifery nursing on delivery mode and labor process of primiparas

目的探讨责任制助产护理对初产妇分娩方式及产程的影响。方法选取2022年1月至12月于乐陵市人民医院定期产检的120例初产妇,根据随机抽签法分为对照组(60例)与观察组(60例)。对照组实施常规助产护理,观察组实施责任制助产护理。比较两组产程、分娩方式、产后并发症及围生儿不良结局发生情况。结果观察组各产程均短于对照组,差异有统计学意义(P<0.05)。观察组阴道分娩率高于对照组,差异有统计学意义(P<0.05)。观察组产妇产褥感染、胎儿窘迫及新生儿窒息发生率均低于对照组,差异有统计学意义(P<0.05)。结论责任制助产护理可缩短初产妇产程,提高阴道分娩率,减少产后并发症及围生儿不良结局的发生,值得临床推广应用。

Objective To investigate the effect of responsibility midwifery nursing on delivery mode and labor process of primiparas.Methods A total of 120 primiparas who received regular prenatal examination in Leling People’s Hospital from January to December 2022 were selected and divided into the control group(60 cases)and the observation group(60 cases)according to the random drawing method.The control group implemented routine midwifery nursing,and the observation group implemented responsibility midwifery nursing.The labor process,delivery mode,postpartum complications,and perinatal adverse outcomes were compared between the two groups.Results All labor stages in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The vaginal delivery rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of puerperal infection,fetal distress and neonatal asphyxia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The responsibility midwifery nursing can shorten the labor process of primiparas,improve the rate of vaginal delivery,reduce the occurrence of postpartum complications and perinatal adverse outcomes,and is worthy of clinical application.