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        丈夫陪產配合導樂陪產應用于產婦分娩過程中對產程用時、分娩結局及滿意度的影響

        發(fā)布時間:2018-06-23 來源: 歷史回眸 點擊:


          [摘要] 目的 觀察產婦分娩過程中應用丈夫陪產配合導樂陪產對產程用時、分娩結局及滿意度的影響。 方法 選取2015年7月~2017年7月在我院分娩的128例產婦的臨床資料,按方案不同分為兩組,各64例,對照組行傳統(tǒng)分娩方式,觀察組行丈夫陪產配合導樂陪產,比較組間產程、分娩結局及滿意度。 結果 觀察組第一、第二、第三產程為(7.35±0.23)h、(0.74±0.05)h、(0.12±0.01)h及總產程(8.23±0.34)h均比對照組(8.36±0.34)h、(0.96±0.11)h、(0.19±0.02)h、(9.63±0.36)h短(P<0.01);觀察組自然分娩率(85.94%)比對照組(53.13%)高,剖宮產率(14.06%)比對照組(46.89%)低(P<0.01),觀察組產后2 h出血量比對照組少;觀察組總滿意(93.75%)比對照組(71.88%)高(P<0.01)。結論 產婦分娩通過丈夫陪產聯(lián)合導樂陪產能顯著縮短產程,提高自然分娩率,減少產后出血,提升滿意度。
          [關鍵詞] 產婦分娩;丈夫陪產;導樂陪產;產程;分娩結局
          [中圖分類號] R714.3 [文獻標識碼] B [文章編號] 1673-9701(2018)08-0059-04
          Effect of delivery accompanied by husband and doula on stage of labor, delivery outcome and satisfaction during labor
          LIU Zhengjie ZHANG Shengyan
          Department of Obstetrics and Gynecology, Ruian Maternal and Child Health Care Hospital in Zhejiang Province, Ruian 325200, China
          [Abstract] Objective To investigate the effects of delivery accompanied by husband and doula on stage of labor, delivery outcome and satisfaction during maternal delivery. Methods The clinical data of 128 puerpera delivering in our hospital from July 2015 to July 2017 were divided into 2 groups with 64 cases in each group. The control group received traditional delivery mode. The observation group used husband accompanied and doula accompanied delivery method. Stage of labor, delivery outcomes and satisfaction were compared between groups. Results The first, second and third stage of labor(7.35±0.23)h,(0.74±0.05) h,(0.12±0.01) h and total stage of labor(8.23±0.34)were shorter compared with the control group (8.36±0.34)h, (0.96±0.11) h,(0.19±0.02)h and(9.63±0.36) h, respectively(P<0.01). The rate of spontaneous labor in the observation group was 85.94%, which was higher than that in the control group(53.13%). The rate of cesarean was 14.06%, which was lower than control group (46.89%)(P<0.01). The amount of 2 h-postpartum hemorrhage in the observation group was less than the control group.The total satisfaction rate of the observation group was 93.75% which was higher than the control group(71.88%)(P<0.01). Conclusion Maternal delivery accompanied by husband and doula can significantly shorten the stage of labor, increase the rate of spontaneous labor, reduce the postpartum hemorrhage and improve the satisfaction.
          [Key words] Maternal childbirth; Husband accompanied delivery; Doula accompanied delivery; Stage of labor; Delivery outcome
          分娩是具有應激性的一種生理過程,產婦是分娩的唯一承受對象,其在分娩前、分娩中均存在系列情緒變化,例如緊張、害怕、焦急、抑郁等,這種負面情緒不利于產婦分娩的進程,易引起宮縮乏力、宮內窘迫等諸多分娩并發(fā)癥,危害母嬰結局[1]。子宮收縮所引起的陣發(fā)性疼痛是導致產婦分娩期不良情緒變化的主要原因,而分娩引起的恐懼、疼痛則是導致產婦選擇剖宮產分娩的主要因素[2]。產婦在分娩時感受到的劇烈疼痛使得其肌肉緊繃,抑制血管、子宮進行收縮,繼而阻礙分娩進程,延緩產程,增加疼痛感,導致妊娠不良結局[3]。導樂陪產是近年產科興起的一種新型分娩模式,在分娩全程中予以產婦情感、生理、心理支持,以增強產婦自我效能感,優(yōu)化分娩質量的一種手段[4]。以往產婦分娩拒絕一切除醫(yī)護人員以外的人員進入產房,但是,近幾年許多醫(yī)院開始允許丈夫陪產,這對產婦分娩起到一定的支持作用。為探討丈夫陪產聯(lián)合導樂陪產的應用效果,我院以2015年7月~2017年7月接收的128例產婦作為研究對象,現(xiàn)報道如下。

        相關熱詞搜索:分娩 產婦 應用于 用時 中對

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