导乐分娩服务对初产妇分娩结局的临床观察

目的:探讨导乐分娩服务对初产妇产程情况及分娩情况的影响。方法:将在中国人民解放军总医院产科住院分娩的初产妇分为观察组(60例)和对照组(60例)。其中观察组产程中采用一对一的导乐分娩服务;而对照组产程中采用传统方式待产。比较两组产妇产程中的疼痛级别、产程时间、产程中羊水性状、分娩情况、产时产后2小时阴道出血量及新生儿Apgar评分。结果:观察组临产时第一产程和第二产程的疼痛级别低于对照组,两组比较差别有统计学意义(P<0.05)。观察组第一产程时间及总产程时间短于对照组,两组比较差别有统计学意义(P<0.05)。观察组与对照组相比剖宫产率低,观察组与对照组比较,两组产妇产时产后2小时阴道出血量、产程中羊水性状及新生儿Apgar评分差异无统计学意义(P>0.05)。结论:导乐分娩服务应用于初产妇产程中的镇痛效果显著,对于缓解分娩疼痛、加快产程和保障母子的安全都十分重要,降低了剖宫产率,有利于促进自然分娩;其操作简便、产妇不使用药物、无创伤性,值得应用于临床。

Objective:To investigate the effect of Doula delivery service for primipara and delivery.Methods:in the obstetrics of General Hospital of PLA hospital primiparae were divided into observation group(60 cases)and control group(60 cases).The service of the Doula delivery in the observation group and the control in the production process;the traditional way of using labor groups during labor. Comparison of two groups of maternal labor pain level,labor time,the character of amniotic fluid during labor,delivery,postpartum 2 hours the amount of vaginal bleeding and neonatal Apgar score.Results:the observation group in the first stage and second stage of labor pain level lower than that of the control group, the two groups was statistically significant difference(P<0.05).The observation group in the first time of labor and the total labor time is shorter than the control group, there is significant difference between the two groups(P<0.05).The observation group compared with the control group, the cesarean section rate is low,the concept of The observation group and the control group, the women in the two groups after 2 hours of postpartum vaginal bleeding, produced in the process of character of amniotic fluid and Apgar score between the no statistical significance(P>0.05). Conclusion:Doula delivery service application in primipara of analgesic effect significantly,to ease the pain of childbirth to accelerate production process and guarantee the mother and child safety is very important,to reduce the rate of cesarean section, is conducive to promoting natural delivery;the utility model has the advantages of simple operation, mothers do not use drugs,noninvasive,worthy of application in clinic.