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目的 探讨改变产科服务方式、开展陪伴分娩对母婴健康的影响。方法 对 2 0 0例陪伴分娩孕妇与陪伴分娩孕妇传统模式分娩孕妇的各项指标进行对比。结果 陪伴组与对照组总产程分别为 (381.2± 14 5 .6 )、(4 2 1.6± 12 1.5 )min(P <0 .0 1) ;剖宫产率为 12 %及 2 9% (P <0 .0 5 ) ;自然分娩率为 82 %及 6 4 % (P <0 .0 5 ) ;侧切率为 2 8%及 72 % (P <0 .0 5 ) ;因宫缩乏力使用催产素为 18%及 30 % (P <0 .0 5 ) ;产后出血为 (16 5 .3± 39.3)及(179.3± 4 8.1)ml(P <0 .0 1) ;胎儿窘迫率为 14 %及 2 7% (P <0 .0 5 ) ;新生儿窒息率为 3%及 6 .5 % (P <0 .0 5 ) ;新生儿吸入性肺炎为 1.5 %及 2 % (P >0 .0 5 )。结论 改变产科服务方式 ,开展陪伴分娩是一种以产妇为中心的服务模式 ,有利于提高产时服务质量 ,促进母婴健康
Objective To explore the impact of changing obstetric services and carrying out childbirth delivery on maternal and child health. Methods A comparison was made between the 200 indicators of maternal abortions and the maternal abortions of pregnant women. Results The total labor duration of the companion group and the control group were (381.2± 14 5. 6), (4 2 1.6± 12 1.5) min (P 0.01); the caesarean section rate was 12% and 29% (P <0·0 5 ); Natural delivery rate was 82% and 64% (P <0.05); Excisive rate was 28% and 72% (P <0.05); Induced labor due to uterine inertia It was 18% and 30% (P <0.05); postpartum hemorrhage was (165.3 ± 39.3) and (179.3 ± 48.1) ml (P <0.01); fetal distress rate was 14%. And 27% (P <0.05); neonatal asphyxia rate was 3% and 6.5% (P <0.05); neonatal aspiration pneumonia was 1.5% and 2% (P> 0. 0 5 ). Conclusion Changing obstetric service methods and carrying out childbirth delivery is a maternal-centered service model that is conducive to improving quality of service at the time of delivery and promoting maternal and child health.