导乐陪伴分娩联合镇痛分娩对产程及分娩结局的影响

Effect of Doula Accompanied Delivery Combined with Analgesic Delivery on Labor Process and Delivery Outcome

目的研究导乐陪伴分娩联合镇痛分娩对产程、分娩结局的影响。方法选取2020年8月-2022年8月玉山县黄家驷医院接收的60例待产孕妇,按照随机数字表法分为对照组(30例)与观察组(30例)。两组均选择经阴道分娩,对照组采用镇痛分娩,观察组则在其基础上联合导乐陪伴分娩,比较两组产程时间(第一产程、第二产程、总产程)、分娩疼痛情况[疼痛视觉模拟量表(VAS)]、不良情绪[焦虑视觉模拟量表(VAS-A)、分娩恐惧量表(CAQ)]、分娩控制量表(LAS)、分娩结局(产后出血量、转剖宫产、器械助产、会阴侧切)及产妇满意度。结果观察组第一产程、第二产程、总产程均短于对照组(P<0.05);观察组VAS、VAS-A、CAQ评分低于对照组,而LAS评分高于对照组(P<0.05);观察组产后出血量少于对照组,且转剖宫产率、器械助产率、会阴侧切率小于对照组(P<0.05);观察组产妇满意率高于对照组(P<0.05)。结论导乐陪伴联合镇痛分娩可缩短产妇的产程时间,缓解其分娩疼痛及不良情绪,增强分娩控制感,有助于分娩结局的改善,产妇满意度佳。

Objective To study the effect of Doula Doula accompanied delivery combined with analgesia delivery on labor process and delivery outcome.Methods From August 2020 to August 2022,60 pregnant women in Huangjiasi Hospital of Yushan County were selected and divided into control group(30 pregnant women)and observation group(30 pregnant women)according to the random number table method.Both groups were given vaginal delivery,the control group was given analgesic delivery,and the observation group was given Doula accompanied delivery on the basis of the control group.The labor time(first stage of labor,second stage of labor,total stage of labor),labor pain[Visual Analogue Scale(VAS)],adverse emotions[Anxiety Visual Analogue Scale(VAS-A),Fear of Childbirth Scale(CAQ)],Labour Agentry Scale(LAS),birth outcome(postpartum hemorrhage,cesarean section,instrumental midwifery,episiotomy)and maternal satisfaction were compared between the two groups.Results The first stage of labor,the second 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 VAS,VAS-A and CAQ scores of the observation group were lower than those of the control group,while the LAS score was higher than that of the control group(P<0.05).The amount of postpartum hemorrhage in the observation group was less than that in the control group,and the rate of cesarean section,instrumental midwifery rate and episiotomy rate were lower than those in the control group(P<0.05).The maternal satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion Doula accompanied delivery combined with analgesic delivery can shorten the labor time of parturients,relieve their labor pain and adverse emotions,enhance the sense of controlin labour,help to improve the birth outcome,and have good maternal satisfaction.