助产士门诊孕期保健教育结合温柔分娩促进初产妇自然分娩效果  

Effect of the prenatal health care education by midwifery in outpatient combined with gentle delivery for promoting the natural delivery of primiparas

作　　者：陈玉兰 邹娅 杨芳 CHEN Yulan;ZOU Ya;YANG Fang(Mianyang Hospital Affiliated to Medical School,University of Electronic Science and Technology/Mianyang Central Hospital,Mianyang,Sichuan Province,621000)

机构地区：[1]电子科技大学医学院附属绵阳医院,绵阳市中心医院,621000

出　　处：《中国计划生育学杂志》2024年第9期2095-2098,2103,共5页Chinese Journal of Family Planning

摘　　要：目的:探究助产士门诊孕期保健教育结合温柔分娩促进初产妇自然分娩的效果。方法:纳入本院2022年1月-2023年12月收治的初产妇95例,随机数字表法分为两组,予以对照组(48例)常规护理干预,观察组产妇(47例)在常规护理干预基础上联合助产士门诊孕期保健教育结合温柔分娩干预,比较两组分娩方式及母乳喂养率、孕期保健认知行为及并发症、分娩疼痛评分(视觉模拟疼痛评分法,VAS)及新生儿Apgar评分、总产程及出血量、干预后焦虑自评量表(SAS)及抑郁自评量表(SDS)、产妇及家属满意率。结果:观察组自然分娩率(91.5%)与母乳喂养率(100.0%)均高于对照组(75.0%、91.7%),产妇孕期保健认知行为均优于对照组,并发症少于对照组,产妇VAS评分(4.32±1.05分)及新生儿Apgar评分(9.80±0.40分)均优于对照组(6.77±1.11分、8.63±0.51分),总产程(231.25±77.29min)短于对照组(316.23±77.35min),出血量(322.54±150.65ml)少于对照组(423.35±181.25ml),SAS(44.23±5.19分)及SDS(43.56±3.85分)评分均低于对照组(48.23±5.23分、50.23±4.33分),产妇满意率(95.7%)高于对照组(79.2%),产妇家属满意率(93.6%)高于对照组(75.0%)(均P<0.05)。结论:助产士门诊孕期保健教育结合温柔分娩可提升初产妇孕期保健认知行为,缩短产程、减少出血量和并发症,提升自然分娩率及母乳喂养率,改善产妇焦虑、抑郁心理,产妇及家属满意率较高。Objective:To explore the effect of the prenatal health care education by midwifery in outpatient combined with gentle delivery for promoting the natural delivery of primiparas.Methods:A total of 95 primiparas were included and were divided into two groups by random number table method from January 2022 to December 2023.48 primiparas in the control group received routine nursing intervention,and 47 primiparas in the observation group received routine nursing intervention combined with the prenatal health care education and gentle delivery intervention by midwifery in outpatient combined with gentle delivery.The delivery model,the breastfeeding rate,the cognitive behavior of pregnancy care,the complications rate,the labor pain score evaluated by visual analogue scale(VAS),the neonatal Apgar score,the total labor,the blood loss during labor,and the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)after intervention of the primiparas,and the satisfaction rate of the primiparas and her family members were compared between the two groups.Results:The rates of the natural births(91.5%)and the breastfeeding(100.0%)of the primiparas in the observation group were significantly higher than those(75.0%and 91.7%)of the primiparas in the control group.The pregnancy care cognitive behavior of the primiparas in the observation group was significantly superior to that of the primiparas in the control group.The complications rate of the primiparas in the observation group was significantly less than that that of the primiparas in the control group.The VAS score(4.32±1.05points)of the primiparas and the neonatal Apgar score(9.80±0.40points)in the observation group were significantly higher than those(6.77±1.11points and 8.63±0.51points)of the primiparas in the control group.The duration of the total labor(231.25±77.29 min)of the primiparas in the observation group was significantly shorter than that(316.23±77.35min)of the primiparas in the control group.The amount of bleeding during labor(322.54±15

关 键 词：初产妇 助产士孕期保健教育 温柔分娩 孕期保健认知行为 自然分娩率 新生儿 分娩痛 满意率 

分 类 号：R473.71[医药卫生—护理学]