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目的探讨导乐陪伴分娩对自然分娩产妇产程和新生儿健康状况的影响。方法研究对象为在东丽区东丽医院产科自然分娩的210例初产妇,随机分为观察组和对照组,每组105例。对照组采用常规围产期护理,观察组在常规护理基础上采用导乐分娩,比较两组产妇的疼痛评分—视觉模拟评分法(VAS)、总产程时间、产后出血量、新生儿评分、新生儿窒息率、早吸吮成功率。结果观察组产妇VAS评分、总产程时间、产后出血量和新生儿窒息率均低于对照组,新生儿评分则高于对照组,差异均有统计学意义(P<0.05);两组新生儿早吸吮成功率无差异。结论导乐分娩可以减少分娩疼痛、缩短产程、减少出血量、提高新生儿健康水平,值得在临床上推广应用。
Objective To investigate the effect of doula accompany with childbirth on the status of spontaneous labor and neonatal health in spontaneous labor. Methods Totally 210 primiparae of obstetric delivery at Toray Hospital of Dongli District were randomly divided into observation group and control group with 105 cases in each group. The control group was given routine perinatal care. The observation group was conducted on the basis of routine nursing. The pain scores of the two groups were compared by visual analogue scale (VAS), total labor duration, postpartum hemorrhage, neonatal score, freshmen Child suffocation rate, early sucking success rate. Results The VAS scores, the length of labor, the amount of postpartum hemorrhage and the rate of neonatal asphyxia in the observation group were significantly lower than those in the control group (P <0.05). The newborns’ scores in the observation group were significantly higher than those in the control group Early sucking success rate no difference. Conclusion Diverticile delivery can reduce labor pain, shorten the labor process, reduce the amount of bleeding and improve the health of newborn, it is worth to promote the clinical application.