产前有备分娩培训对产妇分娩结局的影响(1)
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【摘要】 目的 探讨产前有备分娩培训,体操训练及全程陪产对产妇分娩结局的影响。方法 采用回顾性调查方法将本院产检并分娩的初产妇随机抽取600例进行调查,参加产前有备分娩培训课程的产妇273例列为观察组,未参加产前有备分娩培训课程的327例产妇列为对照组,对她们的分娩情况进行调查。结果 观察组产妇的顺产率高,产程明显缩短,产后出血和新生儿窒息率明显降低,遵医行为提高,两组比较差异有统计学意义,P<0.05。结论 接受产前有备分娩培训及体操训练,丈夫全程陪产的孕产妇并发症减少,剖宫产率明显下降,可获得良好的妊娠结局,深受孕妇和医务人员的欢迎,值得推广。
【关键词】产前培训有备分娩;体操;陪产;分娩结局
The influence on pre-prepared childbirth training todelivery resultof the maternal
HE Yu-ping,WEN Yuan.Department of Obstetrics and Gynaecology,Huanghe Hospital,Sanmenxia 472000,China
【Abstract】 Objective To explore the influence on pre-prepared childbirth training,gymnastics andPaternity todelivery result of the maternal.Methods 600 early maternal were randomly selected to investigate using a retrospective survey methodology.273 cases prepared to participate in prenatal maternal delivery of training courses as the observation group,and other 327 cases as control group.Their births were investigated.Results The observation group parturient women were high along the production rate,the course of childbirth obvious reduction,the postpartum hemorrhage and newborn suffocation rate reduces obviously,obeyed the medical behavior enhancement.Two groups of comparisons,the difference had statistics significance,P<0.05.Conclusion Prepared to accept pre-delivery training and gymnastics training,her husband to accompany the whole production to reduce the maternal complications,cesarean section rate decreased availability of a good outcome of pregnancy by pregnant women and medical staff welcome worthy of promotion.
【Key words】Pre-natal training;Prepared childbirth;Gymnastics;Paternity;Delivery result
DOI:10.3760/cma.j.issn 1673-8799.2010.06.174
作者单位:472000黄河三门峡医院
近年来由于剖宫产率持续上升导致母儿危害性增加已成为世界性问题,而社会因素成了高剖宫产率的一个重要原因[1]。国内外学者提出了许多切实可行的措施来降低剖宫产率。产前有备分娩培训正是结合了目前中国的生育现状,整理开发的一套以培训分娩技巧为主的完整的培训方案,我院自2006年2月开始采用这套教育模式,对在我院进行产检的孕妇采用有偿自愿的原则,对273例孕夫妇进行系统讲授产前知识和进行体操训练,分娩过程丈夫全程陪产。旨在帮助孕妇和丈夫了解和掌握相关知识,做好分娩的心理和生理准备,在充满自然和愉悦的环境中顺利完成分娩过程,从而获得良好的妊娠结局。报告如下。
1 资料与方法
1.1 一般资料 将2006年2月至2008年2月期间,在我院进行产检并分娩的初产妇抽取600名,分为两组,其中参加有备分娩培训课的273例做为观察组,未参加有备分娩培训课的327例作为对照组。两组孕妇年龄23~33岁,孕周37~41周,均为头位,排除胎位异常、多胎妊娠、妊高症、妊娠合并其他疾病、骨盆外测量异常、高龄初产等高危因素。
1.2 产前有备分娩培训内容和方法 观察组孕妇自孕16周开始,除按规定产检外还定期学习有备分娩课程,并要求丈夫共同学习相关内容,欢迎公婆及父母参加学习。授课时采用面对面,互动式教学,体操老师 和授课 老师均经过系统培训 ......
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