【摘要】 目的 探讨一种新的分娩方式，进一步减少母婴的危害，从而实现以人为本、保护、促进自然分娩。方法 采用2年来自然临产进入活跃期拟阴道分娩初产妇188例，随机分为两组，研究组(“多对一”组，以下称新导乐组)94例，对照组(称导乐组)94例。在产程、分娩方式、产后出血、疼痛的耐受方面进行分析研究，并进行统计学处理。结果 研究组总产程(398.87±135.15)min，对照组(470±207)min;研究组产后出血量(130.2±40.5)ml，对照组(158.7±59.7)ml;研究组疼痛程度评分(4.78±1.47)分，对照组(6.82±1.97)分。以上两组比较差异均有显著性(P<0.05)。研究组产妇产程中精神紧张、担心、害怕程度比对照组明显减轻，而精神放松及配合产程者明显多于对照组。研究组难产率6.38%，对照组为10.63%;研究组新生儿窒息率1.06%，对照组2.13%，两组比较差异均无显著性(P>0.05)。结论 新导乐可进一步减少产后出血量，降低疼痛程度，提高产妇对医务人员及分娩环境的满意度，大大提高了产科质量。

    关键词 导乐 分娩 总产程 产后出血 疼痛

    Clinical analysis of new Doula delivery

    Tang Qiuying，Zhou Lihua，Wang Zhiqi

    Department of Obstetrics and Gynecology，Songgang People’s Hospital，Shenzhen518105.

    【Abstract】 Objective To analyse the superiority of new Doula delivery.Methods The pregnant women who delivered in our hospital between August2002and July2004were separated randomly.94patients who delivered in warm delivery room were chosen as test group.The other94cases who delivered in ordinary delivery room were chosen as conˉtrol group.Results The total deliver time were(398.87±135.15)min and(470±207)min respectively.The postparˉtum bleeding were(130.2±40.5)ml and(158.7±59.7)ml respectively.The painness were classed by VAS.The painness score were(4.78±1.47)and(6.82±1.97)respectively.The satisfy rate were99.86%and86.83%respecˉtively.These all have much difference(P<0.05).The new-born asphyxia rate were1.06%and2.13%(P>0.05).Conclusion The warm delivery room could help to catch high quality of delivery and low rate of dystocia. ......