CAJ | 학술논문

目的：探讨助产士咨询门诊对初产妇分娩过程的配合度、分娩方式、母乳喂养情况的影响。方法选择在本院妇产科建卡并定期产捡的正常初产妇，随机分为研究组(80例)和对照组(80例)。对照组进行常规产前门诊，研究组除接受常规产前门诊外，还参加助产士咨询门诊，接受妊娠、分娩、产后各期健康知识宣教及心理准备指导。比较两组分娩过程的配合度、分娩方式、母乳喂养情况等。结果研究组分娩过程配合度高于对照组，自然分娩率高于对照组，社会因素剖宫产率低于对照组，纯母乳喂养率高于对照组，差异均有统计学意义(P<O.05)；结论助产士咨询门诊可以提高产妇分娩过程配合度，提高自然分娩率，降低社会因素剖宫产率，提高纯母乳喂养率。
목적：탐토조산사자순문진대초산부분면과정적배합도、분면방식、모유위양정황적영향。방법선택재본원부산과건잡병정기산검적정상초산부，수궤분위연구조(80례)화대조조(80례)。대조조진행상규산전문진，연구조제접수상규산전문진외，환삼가조산사자순문진，접수임신、분면、산후각기건강지식선교급심리준비지도。비교량조분면과정적배합도、분면방식、모유위양정황등。결과연구조분면과정배합도고우대조조，자연분면솔고우대조조，사회인소부궁산솔저우대조조，순모유위양솔고우대조조，차이균유통계학의의(P<O.05)；결론조산사자순문진가이제고산부분면과정배합도，제고자연분면솔，강저사회인소부궁산솔，제고순모유위양솔。
purpose To discuss the impact of midwife counseling clinic on maternity’s birth process corporation, mode of delivery, breastfeeding. Method Choose normal maternities who create file in our hospital and do regular check-up, divide them into research group (80 cases) and comparison group (80 cases) . Comparison group takes normal prenatal check-up. Research group takes normal prenatal check-up, participates midwife counseling clinic, and get guide of health and psychological preparation during gestation, delivery and postnatal. Compare their birth process corporation, mode of delivery, breastfeeding. Result Compared with comparison group, research group’s birth process corporation is better, natural birth rate is higher, cesarean section rate is lower and exclusive breastfeeding rate is higher. And al the differences are statistical significant (P<0.05).Conclusion Midwife counseling clinic can help rise birth process corporation, rise natural birth rate, reduce cesarean section rate and rise exclusive breastfeeding rate.