胎心监护仪全程监护联合导乐服务对产妇分娩方式、产程进展和应激的影响  

The Effects of Fetal Heart Monitor and Doula Service on Delivery Mode,Labor Progress and Stress

作　　者：林纯纯 LIN Chun-chun(Department of Obstetrics,Jinjiang Hospital,Fujian Jinjiang 362200)

机构地区：[1]晋江市医院产科,福建晋江362200

出　　处：《中国医疗器械信息》2024年第24期71-73,共3页China Medical Device Information

摘　　要：目的:研究胎心监护仪全程监护联合导乐服务对产妇分娩方式、产程进展和应激的影响。方法:选取2022年9月~2023年9月于本院分娩的产妇150例。采用随机数表法分为两组,各75例。两组均给予常规产科干预,对照组给予导乐服务,观察组在其基础上给予胎心监护仪全程监护。比较两组中转剖宫产率、产程进展情况、围产期指标(产后出血量及新生儿Apgar评分),心理应激反应[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果:观察组中转剖宫产率及经阴道分娩者不同产程、总产程时间均低于对照组,产后2h内出血量低于对照组,且新生儿Apgar评分高于对照组(P<0.05)。分娩结束后观察组SAS、SDS评分显著低于对照组(P<0.05)。结论:胎心监护仪全程监护联合导乐服务能降低中转剖宫产率,加快产程进展,降低产后出血量,并改善新生儿Apgar评分及产妇产后心理应激状态。Objective:To study the effects of fetal heart monitor combined with doula service on delivery mode,labor progress and stress.Methods:150 women who gave birth in our hospital from September 2022 to September 2023 were selected.They were divided into two groups by random number table method,75 cases in each group.The control group was given routine obstetric interventions and doula service,and the observation group was given fetal heart monitor.The rate of cesarean section,the progress of labor,perinatal indexes(postpartum blood loss and Apgar score),psychological stress response[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]were compared between the two groups.Results:The rate of cesarean section and the total labor time of vaginal delivery in the observation group were lower than those in the control group,the amount of blood loss within 2 hours after delivery was lower than that in the control group,and the neonatal Apgar score was higher than that in the control group(P<0.05).After delivery,SAS and SDS scores were much lower in the observation group than in the control group(P<0.05).Conclusion:Fetal heart monitor combined with doula service can reduce the rate of cesarean section,accelerate the progress of labor,reduce the amount of postpartum bleeding,and improve the Apgar score of newborns and postpartum psychological stress.

关 键 词：胎心监护仪全程监护 导乐服务 分娩方式 产程进展 应激反应 

分 类 号：R473.71[医药卫生—护理学]