助产士一对一导乐陪伴分娩对高龄初产妇分娩疼痛及母婴结局的影响  

Effects of one-to-one Doula accompanied delivery by midwives on labor pain and maternal and infant outcomes in elderly primiparas

作　　者：石素华 SHI Suhua(Department of Obstetrics and Gynecology,Shan County People’s Hospital in Heze City,Shandong Province,Heze 274300,China)

机构地区：[1]山东省菏泽市单县人民医院妇产科,山东菏泽274300

出　　处：《妇儿健康导刊》2025年第4期131-134,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨助产士一对一导乐陪伴分娩对高龄初产妇分娩疼痛及母婴结局的影响。方法选取菏泽市单县人民医院2022年1月至2023年12月收治的96例高龄初产妇,通过随机数字表法分为对照组和观察组,各48例。对照组给予常规护理与助产,观察组给予助产士一对一导乐陪伴分娩,对比两组分娩疼痛程度、母婴结局及产后并发症。结果观察组分娩疼痛程度轻于对照组(P<0.05);观察组自然分娩率、新生儿Apgar评分高于对照组(P<0.05);观察组尿潴留、产后出血、会阴感染、产后抑郁并发症总发生率低于对照组(P<0.05)。结论助产士一对一导乐陪伴分娩在高龄初产妇中应用,能有效缓解分娩疼痛,改善母婴结局,降低产后并发症发生率。Objective To explore the effect of one-to-one Doula accompanied delivery by midwives on labor pain and maternal and infant outcomes in elderly primiparas.Methods A total of 96 elderly primiparas admitted to Shan County People’s Hospital in Heze City from January 2022 to December 2023 were selected and divided into control group and observation group by random number table method,with 48 cases in each group.The control group was given routine nursing and midwifery,and the observation group was given one-to-one Doula accompanied delivery by midwives.The degree of labor pain,maternal and infant outcomes,and postpartum complications were compared between the two groups.Results The degree of labor pain in the observation group was lighter than that in the control group(P<0.05).The natural delivery rate and neonatal Apgar score in the observation group were higher than those in the control group(P<0.05).The total incidence of urinary retention,postpartum hemorrhage,perineal infection and postpartum depression in the observation group was lower than that in the control group(P<0.05).Conclusion The application of one-to-one Doula accompanied delivery by midwives in elderly primiparas can effectively relieve labor pain,improve maternal and infant outcomes,and reduce the incidence of postpartum complications.

关 键 词：助产士一对一导乐陪伴分娩 高龄初产妇 分娩疼痛 母婴结局 

分 类 号：R473.71[医药卫生—护理学]