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目的：探讨Doula分娩时产妇的情绪，心理对分娩结局的影响。方法：对92例初产妇（实验组）采用Doula式分娩的临床观察，并与同期进入产房无伴陪组初产妇89例（对照组）比较，结果：实验组第一、二产程时间较对照组明显缩短，两组比较有显著性差异（P＜0．05），实验组剖宫产率7．6％，对照组19．1％，较无陪伴组剖官产率有显著性下降（P＜0．05）。结论：Doula式分娩顺应了产妇心理需求，缩短了产程，降低了剖宫产率，提高了分娩质量，值得大力推广。
Objective: To investigate the influence of maternal mood and psychology on childbirth outcomes during Doula childbirth. Methods: Ninety-two cases of primipara (experimental group) were observed by Doula-type labor and compared with 89 primiparous women who entered unaccompanied group during the same period (control group). The results showed that the time of first and second stage of labor in experimental group was longer than that of control group (P <0.05). The rate of cesarean section was 7.6% in the experimental group and 19.1% in the control group, which was significantly lower than that of the non-accompanying group P <0.05). Conclusion: Doula-style childbirth conforms to the psychological needs of mothers, shortening the birth process, reducing the rate of cesarean section, and improving the quality of childbirth, which is worth to be promoted.