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目的探讨导乐分娩与产妇精神状态(焦虑及抑制)、分娩方式、分娩过程及产后出血的关系。方法选择223例无剖宫产指征的单胎初产妇,随机分为导乐组118例,普通组105例,以焦虑自评量表(SAS)及抑郁自评量表(SDS)评定两组的精神状态,观察两组的分娩方式、产程及产后出血情况。结果 (1)导乐组临产后的 SAS、SDS评分明显低于普通组,差异有非常显著性,P<0.01。(2)导乐组自然分娩率较普通组明显升高,P< 0.05,差异有显著性。(3)导乐组产妇的第一、二产程均较普通组要短,导乐组产后出血率低于普通组,差异均有显著性(P<0.01)。结论导乐分娩明显改善了产妇抑郁、焦虑状态,提高了自然分娩率,缩短了产程,减少了产后出血的发生率,故导乐分娩可提高产科质量,值得推广。
Objective To explore the relationship between childbirth and maternal mental state (anxiety and depression), mode of delivery, childbirth and postpartum hemorrhage. Methods Totally 223 single mothers with no cesarean indications were randomly divided into Dulle group (n = 118) and general group (n = 105). The anxiety self-rating scale (SAS) and depression self-rating scale Group mental state, observe the mode of delivery, labor and postpartum hemorrhage. Results (1) SAS, SDS scores of lead group after labor were significantly lower than those of common group, the difference was significant (P <0.01). (2) The rate of natural childbirth in Duan music group was significantly higher than that in general group, P <0.05, the difference was significant. (3) The first and second stage of labor of lead group were shorter than normal group, and the rate of postpartum hemorrhage was lower in lead group than in normal group (P <0.01). Conclusion Dominant music delivery has significantly improved maternal depression and anxiety, increased spontaneous delivery rate, shortened labor process and decreased the incidence of postpartum hemorrhage. Guided music delivery can improve obstetrics quality and is worth promoting.