联合干预措施对促进自然分娩作用的研究  

Effect of combined interventions on promoting natural delivery

作　　者：田红霞[1] 陈丽丽[1] 王嵩川[1] 

机构地区：[1]洛阳市妇女儿童医疗保健中心,河南洛阳471000

出　　处：《中国妇幼健康研究》2014年第5期863-864,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的通过导乐陪产联合干预措施为产妇提供心理和生理上的专业知识,使其树立自信,以利于缩短产程,降低剖宫产率,促进和支持自然分娩。方法按随机选择模式将2012年1至3月在洛阳市妇女儿童医疗保健中心住院分娩的产妇分为2组,对照组350例沿用常规产时服务模式,观察组328例实施导乐陪产、播放潜脑音乐、自控硬膜外镇痛等联合干预措施,观察2组的分娩方式、产后24小时出血及新生儿Apgar评分情况。结果观察组阴道分娩264例(80.5%),剖宫产64例(19.5%);对照组阴道分娩194例(55.4%),剖宫产156例(44.6%),两组比较差异有统计学意义(X^2=48.51,P<0.05)。对照组产后24小时出血1例(0.3%),观察组产后24小时无出血病例,两者比较差异无统计学意义(P=1.00>0.05)。两组新生儿Apgar评分比较差异无统计学意义(X^2=0.99,P>0.05)。结论导乐陪产的顺产分娩率高,联合干预措施对促进自然分娩,提升服务质量有积极作用。Objective To provide psychological and physiological knowledge for pregnant women by combined interventions with Doula accompany delivery, so as to establish confidence, shorten birth process, reduce cesarean section rate and promote and support natural childbirth.Methods Pregnant women admitted in Luoyang City Women and Children Health Care Center from January to March in 2012 were divided into two groups according to stochastic selective model.Control group （n=350） accepted conventional service model, while observation group （n=328） was given combined interventions including Doula accompany delivery, music and patient controlled epidural analgesia.The mode of delivery, blood loss 24h after delivery and neonatal Apgar score were observed.Results In the observation group, there were 264 cases of vaginal delivery （80.5%） and 64 cases of cesarean section （19.5%）, while in the control group there were 194 cases of vaginal delivery （55.4%） and 156 cases of cesarean section （44.6%）.The difference between two groups was statistically significant （χ2 =48.51,P〈0.05）.Postpartum hemorrhage 24h after delivery occurred in 1 case in the control group, but there was no case suffering postpartum hemorrhage in the observation group.There was no significant difference between two groups （P=1.00〉0.05）. No significant difference was found in neonatal Apgar score between two groups （χ2 =0.99, P〉0.05）.Conclusion Normal delivery rate is high with Doula accompany delivery.The combined intervention measures can promote natural delivery and improve service quality.

关 键 词：自然分娩 导乐陪产 剖宫产 服务模式 联合干预措施 

分 类 号：R173[医药卫生—妇幼卫生保健] R714[医药卫生—公共卫生与预防医学]