全程导乐分娩在妊娠期高血压产妇中的应用效果  

Application Effect of Whole Doula Delivery in Pregnant Women with Hypertensive Diseases during Pregnancy

作　　者：胡松真 林燕红 HU Songzhen;LIN Yanhong(Delivery Room,Xiamen University Affiliated Women and Children's Hospital(Xiamen Maternal and Child Health Hospital),Xiamen 361000,China)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院)产房,厦门361000

出　　处：《中国医药指南》2024年第21期77-79,共3页Guide of China Medicine

摘　　要：目的分析全程导乐分娩在妊娠期高血压疾病产妇中的应用效果。方法选取2022年3月至2023年3月在厦门市妇幼保健院分娩的妊娠期高血压产妇200例,遵照研究对象自身意愿分成两组,对照组与观察组各100例,对照组接受常规助产及护理,而观察组则接受全程导乐分娩护理,比较两组妊娠结局情况。结果观察组的第一产程、第二产程、总产程分别为(538.58±102.32)min、(35.00±10.00)min、(578.15±114.68)min,均短于对照组的(635.17±120.15)min、(45.00±10.00)min、(685.44±130.55)min,差异有统计学意义(P<0.05)。相比于对照组,观察组的自然分娩率更高(P<0.05),器械助产率、中转剖宫产率更低(P<0.05)。相比于对照组,观察组的静脉降压率、产后出血发生率均更低(P<0.05)。结论为妊娠期高血压疾病产妇提供全程导乐分娩,不但能有效缩短产程,而且能提高自然分娩率,降低助产率、中转剖宫产率,改善妊娠结局。Objective To analyze the application effect of doula delivery in pregnant women with hypertensive diseases during pregnancy.Methods A total of 200 pregnant women with pregnancy-induced hypertension who gave birth in Xiamen Maternal and Child Health Hospital from March 2022 to March 2023 were selected and divided into two groups according to their own wishes,100 cases in each of the control group and the observation group.The control group received routine midwife and nursing care,while the observation group received whole-course doula delivery care,and the pregnancy outcomes of the two groups were compared.Results The first,second and total stages of labor in the observation group were(538.58±102.32)min,(35.00±10.00)min and(578.15±114.68)min,respectively.It was significantly shorter than(635.17±120.15)min,(45.00±10.00)min and(685.44±130.55)min in the control group,with statistical significance(P<0.05).Compared with the control group,the observation group had a higher rate of natural delivery(P<0.05),a lower rate of assisted delivery and a lower rate of cesarean section(P<0.05).Compared with the control group,the rate of venous blood pressure lowering and the incidence of postpartum hemorrhage in the observation group were lower(P<0.05).Conclusions Providing full doula delivery for pregnant women with hypertensive diseases during pregnancy can not only effectively shorten the labor process,but also significantly increase the rate of natural delivery,reduce the rate of midwifery and cesarean section,and improve the pregnancy outcome.

关 键 词：导乐分娩 妊娠期高血压产妇 产程时间 分娩结局 

分 类 号：R714.246[医药卫生—妇产科学]