中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
5期
863-864
,共2页
自然分娩%导乐陪产%剖宫产%服务模式%联合干预措施
自然分娩%導樂陪產%剖宮產%服務模式%聯閤榦預措施
자연분면%도악배산%부궁산%복무모식%연합간예조시
natural childbirth%doula accompany delivery%cesarean section%service mode%combined intervention measures
目的：通过导乐陪产联合干预措施为产妇提供心理和生理上的专业知识，使其树立自信，以利于缩短产程，降低剖宫产率，促进和支持自然分娩。方法按随机选择模式将2012年1至3月在洛阳市妇女儿童医疗保健中心住院分娩的产妇分为2组，对照组350例沿用常规产时服务模式，观察组328例实施导乐陪产、播放潜脑音乐、自控硬膜外镇痛等联合干预措施，观察2组的分娩方式、产后24小时出血及新生儿Apgar评分情况。结果观察组阴道分娩264例（80．5％），剖宫产64例（19．5％）；对照组阴道分娩194例（55．4％），剖宫产156例（44．6％），两组比较差异有统计学意义（χ2＝48．51，P＜0．05）。对照组产后24小时出血1例（0．3％），观察组产后24小时无出血病例，两者比较差异无统计学意义（P＝1．00＞0．05）。两组新生儿Apgar评分比较差异无统计学意义（χ2＝0．99，P＞0．05）。结论导乐陪产的顺产分娩率高，联合干预措施对促进自然分娩，提升服务质量有积极作用。
目的：通過導樂陪產聯閤榦預措施為產婦提供心理和生理上的專業知識，使其樹立自信，以利于縮短產程，降低剖宮產率，促進和支持自然分娩。方法按隨機選擇模式將2012年1至3月在洛暘市婦女兒童醫療保健中心住院分娩的產婦分為2組，對照組350例沿用常規產時服務模式，觀察組328例實施導樂陪產、播放潛腦音樂、自控硬膜外鎮痛等聯閤榦預措施，觀察2組的分娩方式、產後24小時齣血及新生兒Apgar評分情況。結果觀察組陰道分娩264例（80．5％），剖宮產64例（19．5％）；對照組陰道分娩194例（55．4％），剖宮產156例（44．6％），兩組比較差異有統計學意義（χ2＝48．51，P＜0．05）。對照組產後24小時齣血1例（0．3％），觀察組產後24小時無齣血病例，兩者比較差異無統計學意義（P＝1．00＞0．05）。兩組新生兒Apgar評分比較差異無統計學意義（χ2＝0．99，P＞0．05）。結論導樂陪產的順產分娩率高，聯閤榦預措施對促進自然分娩，提升服務質量有積極作用。
목적：통과도악배산연합간예조시위산부제공심리화생리상적전업지식，사기수립자신，이리우축단산정，강저부궁산솔，촉진화지지자연분면。방법안수궤선택모식장2012년1지3월재락양시부녀인동의료보건중심주원분면적산부분위2조，대조조350례연용상규산시복무모식，관찰조328례실시도악배산、파방잠뇌음악、자공경막외진통등연합간예조시，관찰2조적분면방식、산후24소시출혈급신생인Apgar평분정황。결과관찰조음도분면264례（80．5％），부궁산64례（19．5％）；대조조음도분면194례（55．4％），부궁산156례（44．6％），량조비교차이유통계학의의（χ2＝48．51，P＜0．05）。대조조산후24소시출혈1례（0．3％），관찰조산후24소시무출혈병례，량자비교차이무통계학의의（P＝1．00＞0．05）。량조신생인Apgar평분비교차이무통계학의의（χ2＝0．99，P＞0．05）。결론도악배산적순산분면솔고，연합간예조시대촉진자연분면，제승복무질량유적겁작용。
Objective To provide psychological and physiological knowledge for pregnant women by combined interventions with Doula accompany delivery, so as to establish confidence, shorten birth process, reduce cesarean section rate and promote and support natural childbirth.Methods Pregnant women admitted in Luoyang City Women and Children Health Care Center from January to March in 2012 were divided into two groups according to stochastic selective model.Control group (n=350) accepted conventional service model, while observation group (n=328) was given combined interventions including Doula accompany delivery, music and patient controlled epidural analgesia.The mode of delivery, blood loss 24h after delivery and neonatal Apgar score were observed.Results In the observation group, there were 264 cases of vaginal delivery (80.5%) and 64 cases of cesarean section (19.5%), while in the control group there were 194 cases of vaginal delivery (55.4%) and 156 cases of cesarean section (44.6%).The difference between two groups was statistically significant (χ2 =48.51,P<0.05).Postpartum hemorrhage 24h after delivery occurred in 1 case in the control group, but there was no case suffering postpartum hemorrhage in the observation group.There was no significant difference between two groups (P=1.00>0.05). No significant difference was found in neonatal Apgar score between two groups (χ2 =0.99, P>0.05).Conclusion Normal delivery rate is high with Doula accompany delivery.The combined intervention measures can promote natural delivery and improve service quality.
