上海市导乐陪伴分娩服务现况  

Current situation of doula delivery service in Shanghai city

作　　者：何丽萍[1] 朱丽萍[1] 秦敏[1] 许厚琴[1] 纪若思[1] 董海燕[1] 

机构地区：[1]同济大学附属第一妇婴保健院.上海市妇女保健所,200040

出　　处：《中国妇幼保健》2012年第4期488-491,共4页Maternal and Child Health Care of China

摘　　要：目的:了解上海市导乐陪伴分娩现状,寻找可借鉴的经验,规范导乐服务。方法:采取访谈与问卷相结合的方法,对开展导乐陪伴分娩服务医院的管理人员和导乐人员进行深入访谈。结果:①2009年全市有24家医院开展导乐陪伴分娩服务,产妇总体导乐陪伴率为26.75%,其中8家医院所有的产妇均能享受导乐陪伴分娩服务,而另外7家医院(主要为综合医院)导乐陪伴分娩的比例低于20%。②2010年上海市有30家医院开展导乐陪伴分娩服务,共有383名导乐人员,其中专业医护人员352人,占91.9%;有生育经验妇女31人,占8.1%。③现有27家医院开展"一对一"导乐陪伴分娩服务,各家医院服务模式与内容、导乐人员配置与管理、硬件设施等方面存在差异。结论:导乐陪伴分娩为产妇提供了人性化的产时服务模式,其规范性有待提高。Objective： To understand the current situation of doula delivery service in Shanghai city, seek experiences for reference, normalize doula service. Methods： Interview combined with questionnaire was used to survey the administrative staff and doulas deeply from the hospitals conducting doula delivery service. Results： In 2009, 24 hospitals carried out doula delivery service in Shanghai city, the rate was 26.75%. All the lying - in women in eight hospitals adopted doula delivery, while in the other seven hospitals, the proportion of the lying - in women adopting doula delivery was less than 20%. In 2010, 30 hospitals carried out doula delivery service in Shanghai city, 383 doulas were engaged in doula delivery service, including 352 professional medical workers （91.9%） and 31 women having birth experience （ 8. 1% ） . Twenty - seven hospitals carried out one - to - one doula delivery service. There was significant difference in the service mode, human resource allocation and management, and facilities among different hospitals. Conclusion： Doula delivery provides a humanism intrapartum service model for the lying- in women, and its normalization needs to be raised.

关 键 词：导乐 服务方式 人员管理 

分 类 号：R715.4[医药卫生—妇产科学]