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目的:探讨家庭化分娩管理对产妇产程的影响,以更好地开展分娩管理,保证母婴安全。方法:选取2015年4月~2016年10月医院产科接诊的108例产妇为研究对象,以围产期采用的护理方式分组,对照组54例行常规护理,观察组54例行家庭化分娩管理,观察两组干预情况。结果:观察组的总产程时间为(6.21±2.12)h,显著短于对照组的(8.55±2.47)h(P<0.05);观察组的剖宫产率为11.11%,显著低于对照组的31.48%(P<0.05);观察组自然分娩产妇疼痛率为42.86%,显著低于对照组的72.41%(P<0.05);观察组产后大出血发生率、新生儿窒息率显著低于对照组(P<0.05),新生儿Apgar评分显著高于对照组(P<0.05)。结论:对产妇实施家庭化分娩管理,可缩短产程,有效缓解分娩疼痛,对改善妊娠结局、保证母婴安全具有重要作用。
Objective: To explore the impact of family-based childbirth management on maternal labor in order to better carry out childbirth management and ensure the safety of mother and baby. Methods: From April 2015 to October 2016, 108 cases of obstetric admissions in hospital were selected as the study subjects, divided into groups according to the way of nursing during perinatal period, 54 cases in the control group underwent routine nursing, 54 cases in the observation group were delivered by family Management, observation of two groups of interventions. Results: The total labor duration was (6.21 ± 2.12) h in the observation group, which was significantly shorter than that in the control group (8.55 ± 2.47) h (P <0.05). The cesarean section rate in the observation group was 11.11% (P <0.05). The pain rate of spontaneous labor in observation group was 42.86%, which was significantly lower than that in control group (P <0.05). The incidence of postpartum hemorrhage and neonatal asphyxia in observation group were significantly lower than those in control group (P <0.05). Apgar score in neonates was significantly higher than that in control group (P <0.05). Conclusion: The implementation of family-based childbirth management can shorten the labor process, effectively relieve the pain of childbirth, and improve the pregnancy outcome, to ensure the safety of mother and child plays an important role.