摘要
目的探讨导乐分娩镇痛仪结合体位管理与一对一陪伴分娩在促进自然分娩中的临床价值,为孕妇提供一种舒适、安全分娩选择。方法选择2014年1月-12月期间收住玉林市妇幼保健院符合纳入标准的孕妇300例,将其按照入组顺序编号,采用随机数字表法将其分为A、B、C 3组,每组100例。A组孕妇实施导乐分娩镇痛仪配合体位管理与一对一陪伴分娩,B组孕妇实施导乐分娩镇痛仪辅助自然分娩,C组孕妇实施传统自然分娩。比较3组孕妇不同阶段产程时间、疼痛评分、自然分娩率、自然分娩产妇生殖道损伤情况及新生儿窒息率。3组孕妇生产结束后第2天对其进行满意度调查并比较。结果 3组孕妇年龄、体质量、体质指数(BMI)和孕周比较差异无统计学意义(均P>0. 05)。A组产妇第一产程时间、第二产程时间、疼痛评分和自然分娩者生殖道损伤率均明显低于B组和C组产妇,且B组产妇上述指标明显低于C组产妇,差异有统计学意义(均P<0. 05)。A组产妇自然分娩率和产妇满意率明显高于B组和C组产妇,且B组产妇自然分娩率和产妇满意率明显高于C组产妇,差异有统计学意义(均P<0. 05)。3组新生儿窒息率比较差异无统计学意义(P>0. 05)。结论导乐分娩镇痛仪结合体位管理与一对一陪伴分娩可有效提升产妇自然分娩率,降低分娩疼痛,对促进母婴健康水平具有重要的临床价值。
Objective To explore the clinical value of Doula delivery analgesia apparatus combined with postural management and one-to-one nursing companion during delivery in promotion of spontaneous labor of pregnant women,provide a comfortable and safe delivery choice for pregnant women.Methods A total of 300 pregnant women who met the inclusion criteria of this study were selected from Yulin Municipal Maternal and Child Health Care Hospital from January to December in 2014,then the 300 pregnant women were numbered according to the order of admission of this study.They were randomly divided into three groups(A group,B group,and C group),with 100 pregnant women in each group.The pregnant women in A group received Doula delivery analgesia apparatus combined with postural management and one-to-one nursing companion during delivery,the pregnant women in B group received Doula delivery analgesia apparatus assisted spontaneous labor,and the pregnant women in C group received traditional natural childbirth delivery mode.The birth process time,pain scores,natural delivery rates,incidence rates of maternal reproductive tract injury and neonatal asphyxia were compared among the three groups.The satisfaction degrees were surveyed and compared among the three groups on the second day after end of the delivery.Results There was no statistically significant difference in age,weight,body mass index(BMI),and gestational week among the three groups(P>0.05).The time of the first stage of labor,the time of the second stage of labor,pain score,the incidence rate of maternal reproductive tract injury in A group were statistically significantly lower than those in B group and C group(P<0.05).The time of the first stage of labor,the time of the second stage of labor,pain score,the incidence rate of maternal reproductive tract injury of pregnant women in B group were statistically significantly lower than those of pregnant women in C group(P<0.05).The natural childbirth rate and satisfaction rate of pregnant women in A group were statistically significantly higher than those of pregnant women in B group and C group,the natural childbirth rate and satisfaction rate of pregnant women in B group were statistically significantly higher than those of pregnant women in C group(P<0.05).There was no statistically significant difference in incidence rate of neonatal asphyxia of pregnant women among the three groups(P>0.05).Conclusion Doula delivery analgesia apparatus combined with postural management and one-to-one nursing companion during delivery can effectively improve natural birth rate of pregnant women and relieve labor pain,which has an important value to promote maternal and child health.
作者
肖海燕
刘伟武
李玉英
肖霞
陈恒
李莉
徐秀英
李云端
XIAO Hai-Yan;LIU Wei-Wu;LI Yu-Ying(Department of Obstetrics,Yulin Municipal Maternal and Child Health Care Hospital,Yulin,Guangxi 537000,China)
出处
《中国妇幼保健》
CAS
2019年第19期4567-4570,共4页
Maternal and Child Health Care of China
基金
广西玉林市科学研究与技术开发计划项目(13093007)
关键词
导乐分娩镇痛仪
体位管理
一对一陪伴分娩
自然分娩
临床价值
Doula delivery analgesia apparatus
Postural management
One-to-one nursing companion during delivery
Natural childbirth
Clinical value
