产妇分娩过程中导乐陪产的应用效果及对分娩质量的影响研究  

Study on the Application Effect of Doula in the Process of Parturient Delivery and its Influence on the Quality of Delivery

作　　者：梁美娟 严燕萍 LIANG Mei-juan;YAN Yan-ping(Department of Obstetrics,Jiangmen People's Hospital,Jiangmen 529000,China)

机构地区：[1]江门市人民医院产科,广东江门529000

出　　处：《中国医药指南》2020年第17期52-53,共2页Guide of China Medicine

摘　　要：目的探讨产妇分娩过程中导乐陪产的应用效果及对分娩质量的影响研究。方法将2018年3月至2019年3月在我院产科行阴道分娩的200例产妇按分泌过程中的护理方式分为两组,对照组采用常规护理,观察组采用导乐陪产,比较两组产妇的生产情况、心理情况、产后出血及疼痛情况、新生儿情况。结果观察组总产程时间、剖宫产率明显少于对照组(P<0.05);观察组产时恐惧感、焦虑感等不良心理发生率明显低于对照组,而安全感明显高于对照组(P<0.05);观察组产后24 h出血量、产后出血率、产时疼痛评分明显低于对照组,而护理满意率明显高于对照组(P<0.05);观察组新生儿Apgar评分明显高于对照组,而新生儿窒息率明显低于对照组(P<0.05)。结论产妇分娩过程中导乐陪产的应用效果显著,能有效缓解产妇焦虑、恐惧的心理状态,加快产程,降低剖宫产率,提高新生儿质量,减少产后出血率,具有积极的临床意义。Objective To explore the application effect of doula in the process of maternal delivery and the influence of doula on the quality of delivery.Methods From March 2018 to March 2019,200 cases of parturient women who underwent vaginal delivery in the obstetrics department of our hospital were divided into two groups according to the nursing methods in the secretory process.The control group was given routine nursing,and the observation group was given doula.Results Total labor duration and cesarean section rate in the observation group were significantly less than those in the control group(P<0.05).The incidence of fear and anxiety during labor in the observation group was significantly lower than that in the control group,while the sense of security was significantly higher than that in the control group(P<0.05).The postpartum blood loss,postpartum bleeding rate and pain score in the observation group were significantly lower than those in the control group,while the nursing satisfaction rate was significantly higher than that in the control group(P<0.05).The Apgar score of the observation group was significantly higher than that of the control group,and the asphyxia rate was significantly lower than that of the control group(P<0.05).Conclusion The application of doula in the process of parturient delivery has a significant effect,which can effectively relieve the maternal anxiety and fear,accelerate the labor process,reduce the rate of cesarean section,improve the quality of the newborn,reduce the rate of postpartum hemorrhage,and has positive clinical significance.

关 键 词：阴道分娩 导乐陪产 应用效果 分娩质量 

分 类 号：R714.3[医药卫生—妇产科学]