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目的:探讨陪伴式分娩对提高产时保健质量的作用。方法:2008年1～12月85例初产妇(观察组)在家属陪伴的同时采用导乐陪伴式分娩,同期85例产妇(对照组)仅有家属陪伴分娩,比较两组产妇产时疼痛、产程、剖宫产率。结果:观察组产妇产痛感觉明显减轻,分娩方式与对照组比较差异有统计学意义(P<0.05);观察组产妇自然分娩率为71.76%,对照组为57.65%,两组比较差异有统计学意义(P<0.01);两组产妇产后2h内出血比较,观察组为(147.9±40.7)ml,对照组为(167.5±40.6)ml,两组比较差异有统计学意义(P<0.01)。观察组阴道分娩产后出血0例,对照组1例(占4.0%),两组产后出血发生率比较有统计学差异(P<0.01)。结论:陪伴式分娩缩短了产程,使产妇产痛明显减轻,降低了剖宫产率,对提高产时保健质量起到了积极的作用。
Objective: To explore the role of accompanying childbirth in improving the quality of health care during delivery. Methods: From January to December in 2008, 85 cases of primipara (observation group) accompanied by family members accompanied by dances accompanied by delivery, while 85 cases of maternal (control group) accompanied by family members only during the same period. Labor, cesarean section rate. Results: The observation group had significantly reduced the feeling of giving birth and the mode of delivery was significantly different from that of the control group (P <0.05). The rate of spontaneous delivery in the observation group was 71.76% and that in the control group was 57.65% (147.9 ± 40.7) ml in the observation group and (167.5 ± 40.6) ml in the control group, the difference between the two groups was statistically significant (P <0.01) . There were 0 cases of postpartum hemorrhage in observation group and 1 case of control group (4.0%). The incidence of postpartum hemorrhage in both groups was statistically different (P <0.01). Conclusions: Companion delivery shortens the labor process, relieves labor pain obviously, reduces the rate of cesarean section and plays a positive role in improving the quality of health care during delivery.