导乐联合无痛分娩对初产妇妊娠结局及疼痛程度的影响  

The effect of Doula Combined With Painless Delivery on the Pregnancy Outcome and Pain Level of Primiparous Women

作　　者：方丽珊[1] 周昶碧[2] FANG Lishan;ZHOU Changbi(Department of Obstetrics and Gynecology,the Affiliated Hospital of Putian University,Putian Fujian 351100,China;Department of Anesthesiology,the Affiliated Hospital of Putian University,Putian Fujian 351100,China)

机构地区：[1]莆田学院附属医院妇产科,福建莆田351100 [2]莆田学院附属医院麻醉科,福建莆田351100

出　　处：《中国卫生标准管理》2023年第22期33-36,共4页China Health Standard Management

摘　　要：目的分析导乐联合无痛分娩对初产妇妊娠结局及疼痛程度的影响。方法选取2021年3月—2023年3月在莆田学院附属医院妇产科分娩的235例初产妇,按照不同的分娩干预方式将其分为两组,其中对照组(n=115)仅选择导乐分娩,而研究组(n=120)则选择导乐联合无痛分娩干预。对两组产程时间、妊娠结局、疼痛程度、焦虑程度与自我效能感水平进行比较。结果与对照组比较,研究组第一产程、第二产程及总产程时间均明显缩短(P<0.05);而两组第三产程时间比较,差异无统计学意义(P>0.05)。与对照组比较,研究组各产程的疼痛评分均显著降低(P<0.05)。研究组干预后的焦虑自评量表(self-rating anxiety scale,SAS)评分低于对照组(P<0.05),一般自我效能感评价量表(general selfefficacy scale,GSES)评分高于对照组(P<0.05)。研究组产后出血、新生儿窒息、中转剖宫产等不良分娩结局低于对照组(P<0.05)。结论为初产妇提供导乐联合无痛分娩能对疼痛程度、焦虑程度进行有效缓解,让自我效能感显著增强,进而让分娩进程加快,让不良分娩结局减少,让分娩质量显著提升。此文的研究结果为初产妇无痛分娩后期标准制定提供了借鉴内容。Objective Analyze the impact of Doula combined with painless delivery on the pregnancy outcome and pain level of primiparous women.Methods A total of 235 primiparas delivered in the department of obstetrics and gynecology,the Affiliated Hospital of Putian University from March 2021 to March 2023 were selected and divided into two groups according to different delivery intervention methods.The control group(n=115)only chose Doula delivery,while the research group(n=120)chose Doula combined with painless delivery intervention.The labor time,pregnancy outcome,pain degree,anxiety degree and selfefficacy level of the two groups were compared.Results Compared with the control group,the first,second,and total stages of labor in the study group were significantly shortened(P<0.05).There was no statistically significant difference in the third stage of labor between the two groups(P>0.05).Compared with the control group,the pain scores of each stage of labor in the study group were significantly reduced(P<0.05).After intervention,the self-rating anxiety scale(SAS)score of the research group was lower than that of the control group(P<0.05),and the general self-efficacy scale(GSES)score was higher than that of the control group(P<0.05).The adverse outcomes of postpartum bleeding,neonatal asphyxia,and conversion to caesarean section in the study group were less than those in the control group(P<0.05).Conclusion Providing Doula combined with painless delivery for primiparous women can effectively alleviate pain and anxiety levels,significantly enhance self-efficacy,accelerate the delivery process,reduce adverse delivery outcomes,and significantly improve delivery quality.The research results of this article provide reference content for the formulation of painless delivery standards for primiparous women in the later stage.

关 键 词：导乐 无痛分娩 初产妇 妊娠结局 疼痛程度 分娩进程 

分 类 号：R714[医药卫生—妇产科学]