助产士全程导乐陪伴护理对无痛分娩产妇分娩方式及母婴结局的影响

The effect of doula accompanied nursing by midwives on delivery mode and maternal and infant outcomes of women in painless delivery

目的探讨助产士全程导乐陪伴护理在无痛分娩中的应用效果。方法选取82例接受无痛分娩的产妇,通过随机数字表法将其分为两组,每组41例。对照组接受常规无痛分娩护理,观察组接受助产士全程导乐陪伴护理。比较两组的剖宫产率、会阴侧切率、出血率、产程时间及新生儿Apgar评分。结果观察组剖宫产率、会阴侧切率及出血率均低于对照组,差异具有统计学意义(P<0.05)。观察组产程时间短于对照组,新生儿Apgar评分高于对照组,差异具有统计学意义(P<0.05)。结论助产士全程导乐陪伴护理不仅能有效降低剖宫产率、会阴侧切率及出血率,还能缩短产程时间,提高新生儿的Apgar评分,对改善无痛分娩产妇的分娩体验和结局具有重要意义。

Objective To explore the application effect of doula accompanied nursing for midwives in painless delivery.Methods 82 women who underwent painless labor were divided into two groups with 41 cases in each group by random number table method.The control group received routine painless delivery nursing,and the observation group received doula accompanied nursing.The cesarean section rate,lateral perineal resection rate,bleeding rate,labor time and neonatal Apgar score were compared between the two groups.Results The cesarean section rate,lateral perineal resection rate and bleeding rate in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The duration of labor in the observation group was shorter than that in the control group,and the Apgar score of newborns was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Doula accompanied nursing by midwives can not only effectively reduce the cesarean section rate,lateral perineal resection rate and bleeding rate,but also shorten the labor time and increase the Apgar score of newborns,which is of great significance for improving the delivery experience and outcome of women in painless labor.