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目的 :观察在产程中对产妇进行心理疏导与分娩方式的关系。方法 :将 2 18例正常初产妇随机分为疏导组 97例 ,对照组 12 1例。观察其临床镇痛效果、分娩方式、产后出血及新生儿窒息率。结果 :临床镇痛有效率疏导组为 83 5 0 % ;对照组为 33 0 6 % ;手术产率 (包括阴道胎吸助产率和剖宫产率 )疏导组为 7 2 2 % ;对照组 37 19% ;产后出血率疏导组 9 2 8% ,对照组 2 6 4 5 % ;经统计学处理差异有高度显著性。新生儿窒息发生率两组差异无显著性。结论 :在产程中进行有效的心理疏导可明显降低阴道胎吸助产率和剖宫产率。
Objective: To observe the relationship between maternal psychological counseling and mode of delivery in labor process. Methods: Two hundred and eighteen normal primiparous women were randomly divided into the guiding group (97 cases) and the control group (121 cases). Observe the clinical analgesic effect, mode of delivery, postpartum hemorrhage and neonatal asphyxia. Results: The effective rate of clinical analgesia was 83 50% in the guiding group and 33 0 6% in the control group. The surgical yield (including vaginal fetal absorption rate and cesarean section rate) was 72.2% in the control group 37 19%. The incidence of postpartum hemorrhage was 9 28% in the guide group and 26 45% in the control group. The difference was statistically significant. Neonatal asphyxia incidence was no significant difference between the two groups. Conclusions: Effective psychological counseling during labor can significantly reduce vaginal admissions and cesarean section rates.