导乐陪伴分娩198例临床分析(1)
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[摘要] 目的：探讨导乐陪伴分娩对产妇及新生儿的影响。方法：以2010年在我院由导乐陪伴经阴道分娩的初产妇198例为观察组，以2010年在我院传统经阴道分娩的初产妇186例为对照组，回顾性分析两组的产钳产率、产程时间、产后出血量和新生儿窒息情况。结果：与对照组相比，观察组的第一产程时间(287.90±81.16)min和第二产程时间(36.0±13.4)min明显缩短(P<0.05)，产后出血量(124.3±41.6)ml减少(P<0.05)，产钳产率(1.01%)和新生儿窒息发生率(0.51%)明显降低(P<0.05)。结论：导乐陪伴分娩是一种新近的更人性化的分娩护理模式，可有效降低产钳产率，提高产时质量，促进母婴健康，值得临床推广。
[关键词] 导乐；产钳产；产程时间；产后出血量；新生儿窒息
[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-7210(2011)11(a)-171-02
Clinical anlysis on 198 cases by Doula with delivery
XIANG Wei, WEI Wengong
Department of Gynaecology and Obstetrics, Qingpu Medical Center Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, China
[Abstract] Objective: To investigate the effects of Doula with delivery on maternal and newborn. Methods: 198 cases by the Doula primiparae vaginal delivery were taken as the observation group in our hospital in 2010, and 186 cases by the initial traditional maternal vaginal delivery were taken as the control group in our hospital in 2010, forceps delivery rate, labor time, postpartum hemorrhage and newborn asphyxia between the two groups were analysed retrospectively. Results: Compared with the control group, first stage of labor time (287.90±81.16) m and second stage of labor time (36.0±13.4) m in observation group were significantly shorter (P<0.05), postpartum hemorrhage (124.3±41.6) ml in observation group also reduced (P<0.05), forceps delivery rate (1.01%) and neonatal asphyxia rate (0.51%) in observation group were significantly lower (P<0.05). Conclusion: Doula with delivery is a new, more humane mode of delivery care. It can effectively reduce forceps delivery rate, improve the quality of production time, promote the health of maternal and newborn, and deserve the clinical expansion.
[Key words] Doula; Forceps delivery; Labor time; Postpartum hemorrhage; Neonatal asphyxia
母亲安全，儿童优先是围产医学永恒的主题[1]。为提高产科质量，促进母婴安全，我院于2004年将导乐理念引进产房，它强调“人性化”服务，根据产妇需要，导乐人员帮助孕妇转移感觉，在产程的各个阶段给予指导，使产妇感到更加舒适、安全，使得产妇在最佳状态下结束分娩。通过这一临床观察，笔者发现导乐陪伴分娩可以有效提高自然分娩率，降低产钳产率及新生儿窒息率，缩短产程时间，减少产后出血量，使孕产妇和新生儿身心健康得到明显改善，从而使得孕产妇满意度大大提高。
1 资料与方法 ......
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