首页|以助产士为主导的伙伴式导乐陪伴结合自由体位助产对足月分娩初产妇产程及分娩结局的影响

以助产士为主导的伙伴式导乐陪伴结合自由体位助产对足月分娩初产妇产程及分娩结局的影响

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目的 探讨以助产士为主导的伙伴式导乐陪伴结合自由体位助产对足月分娩初产妇产程及分娩结局的影响.方法 选择 2022 年10 月—2023年 10 月浙江省人民医院毕节医院收治的 138 例初产妇为研究对象,按随机数字表法将其分为对照组和观察组,各69 例.对照组采用常规助产干预,观察组进行以助产士为主导的伙伴式导乐陪伴结合自由体位助产干预.比较两组的产程时间、分娩疼痛、焦虑感及分娩结局.结果 观察组第一产程、第二产程、第三产程时间均短于对照组,组间差异有统计学意义(P<0.05);观察组疼痛视觉模拟、焦虑视觉模拟评分分别为(5.11±1.01)分、(4.41±1.12)分,均低于对照组的(7.98±1.23)分、(7.21±2.25)分,组间差异有统计学意义(P<0.05);观察组产后 2h出血量少于对照组,新生儿Apgar评分≤7分率、会阴侧切率及会阴裂伤率均低于对照组,组间差异有统计学意义(P<0.05).结论 以助产士为主导的伙伴式导乐陪伴结合自由体位助产可有效缩短足月分娩初产妇的产程,消除其焦虑情绪,还可减轻分娩疼痛,使分娩结局得到改善.
Impact of Partner Guided Companionship Led by Midwives Combined with Free Position Midwifery on the Delivery Process and Outcome of Full-Term Primiparous Women
Objective To explore the impact of partner guided companionship led by midwives combined with free position midwifery on the delivery process and outcome of full-term primiparous women.Methods A total of 138 primiparous women admitted to Bijie Hospital,Zhejiang Provincial People's Hospital from October 2022 to October 2023 were selected as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 69 cases in each group.The control group received routine midwifery intervention,while the observation group received partner guided companionship led by midwives combined with free position midwifery.Compare the duration of labor,delivery pain,anxiety,and delivery outcomes between two groups.Results The first,second,and third stages of labor in the observation group were shorter than those in the control group,the differences between the groups were statistically significant(P<0.05);and the pain Visual Analogue Scale and Visual Analog Scale for Anxiety scores of the observation group were(5.11±1.01)points and(4.41±1.12)points,which were lower than(7.98±1.23)points and(7.21±2.25)points in the control group,the differences between the groups were statistically significant(P<0.05);the amount of bleeding 2 hours postpartum in the observation group was less than that in the control group,and the rates of Apgar score≤7,perineal lateral incision,and perineal laceration in newborns were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The partner guided companionship led by midwives combined with free position midwifery can effectively shorten the delivery process of full-term primiparous women,eliminate their anxiety,and alleviate delivery pain,resulting in improved delivery outcomes.

Primiparous womenFull term deliveryLed by midwivesPartner guided companionship ledFree position midwiferyDelivery process

吴秋君

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浙江省人民医院毕节医院产科,贵州毕节 551700

初产妇 足月分娩 以助产士为主导 伙伴式导乐陪伴 自由体位助产 产程

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(13)