全程陪伴助产联合体位指导对分娩方式和生活质量的影响  

Effect of full-time accompanying midwifery combined postural guidance on delivery methods and quality of life

作　　者：饶文珍 郭亮晶[1] RAO Wen-zhen;GUO Liang-jing(Department of Gynecology and Obstetrics,Ji′an Maternal and Child Protection and Construction Institute,Jiangxi Province,Ji′an 343000,China)

机构地区：[1]江西省吉安市妇幼保健院妇产科,江西吉安343000

出　　处：《中国当代医药》2019年第6期220-222,共3页China Modern Medicine

摘　　要：目的探讨分娩过程中全程陪伴助产与体位指导的联合方式对产妇分娩方式和生活质量的影响。方法选取2016年9月～2017年12月在我院待产的200例产妇作为研究对象,随机分为对照组和观察组,每组各100例。对照组给予常规分娩指导,观察组给予全程陪伴助产与体位指导的联合助产方式,对两组分娩方式与出血量、生活质量评分和满意度进行比较。结果观察组自然分娩率高于对照组,阴道助产率及剖宫助产率低于对照组(P<0.05);观察组分娩出血量少于对照组(P<0.05);观察组的生理健康、心理健康、社会健康等各项生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论全程陪伴助产与体位指导的联合助产方式可显著提高产妇自然分娩率,减少分娩出血,对改善产妇生活质量和满意度有积极的作用。Objective To investigate the effect of the combined method of full-time accompanying midwifery and postural guidance on maternal delivery and quality of life during childbirth.Methods A total of 200 puerpera who expected labor in our hospital from September 2016 to December 2017 were selected as the study subjects and randomly divided into control group and observation group,100 cases in each group.The control group was given regular delivery guidance.The observation group was given the combined method of full-time accompanying midwifery and postural guidance.The amount of bleeding,quality of life scores,and satisfaction were compared between the two groups.Results The natural delivery rate in the observation group was higher than that in the control group.Vaginal assisted delivery rate and cesarean section assisted delivery rate were lower than those in the control group(P<0.05).The amount of bleeding in the observation group was less than that in the control group(P<0.05).The scores of quality of life such as the maternal physical health,mental health and social health in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The combined midwifery mode of full-time accompanying midwifery and postural guidance can significantly improve the maternal natural delivery rate and reduce birth bleeding,and also has a positive effect on improving maternal quality of life and satisfaction.

关 键 词：全程陪伴助产 体位指导 分娩结局 生活质量 

分 类 号：R473.71[医药卫生—护理学]