首页|助产士结合家庭陪伴式护理对初产妇分娩方式、产后抑郁及分娩不良事件的影响

助产士结合家庭陪伴式护理对初产妇分娩方式、产后抑郁及分娩不良事件的影响

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目的 探讨助产士结合家庭陪伴式护理对初产妇分娩方式、产后抑郁及分娩不良事件的影响。方法 选取许昌市妇幼保健院2021年4月至2022年10月收治的110例初产妇,按照随机数字表法分为对照组和观察组,各55例。对照组予以常规护理,观察组予以助产士结合家庭陪伴式护理。比较两组产妇产程与产后 2 h出血量、疼痛程度、心理应激水平、分娩方式、新生儿Appar评分以及分娩不良事件。结果 观察组的第一产程与第二产程明显短于对照组,差异有统计学意义(P<0。05);两组第三产程比较,差异无统计学意义(P>0。05)。观察组产后2 h出血量明显少于对照组,差异有统计学意义(P<0。05)。两组产程各个时间段疼痛程度相比,观察组所需时间明显短于对照组,差异有统计学意义(P<0。05)。护理后,两组产妇心理应激水平明显低于护理前,且观察组低于对照组,差异有统计学意义(P<0。05)。两组分娩方式相比,观察组自然分娩率高于对照组,阴道助产率、剖宫产率低于对照组;观察组的新生儿Appar评分高于对照组,差异有统计学意义(P<0。05)。观察组分娩不良事件发生率明显低于对照组,差异有统计学意义(P<0。05)。结论 助产士结合家庭陪伴式护理应用于初产妇分娩,可缩短产程,降低产妇心理应激,减轻产妇疼痛,有利于提高自然分娩率,降低分娩不良事件发生率。
The Effect of Midwifery combined with Home Companion Care on the Mode of Delivery,Postpartum Depression and Adverse Birth Events in Primiparous Women
Objective To investigate the effect of midwives combined with family-accompanied care on the mode of delivery,postpartum depression and adverse events of delivery in primiparous women.Methods A total of 110 cases of primigravida admitted to our hospital from April 2021 to October 2022 were selected,and were divided into a control group and an observation group by random number table method,with 55 cases in each group.The control group was given conventional care,while the observation group was given midwife combined with family companionship care.The length of labor and 2-h postpartum hemorrhage,pain level,psychological stress level,delivery method,neonatal Apgar score and adverse events of labor were compared between the two groups.Results Compared with the length of labor in both groups,the length of labor in the observation group was significantly shorter;compared with the amount of bleeding in both groups,the amount of bleeding in the observation group was less(P<0.05);compared with the pain level in each time of labor in both groups,the pain level in the observation group was significantly better(P<0.05).After care,the level of psychological stress in both groups was significantly lower,and compared with the observation group,the level of psychological stress in both groups was lower(P<0.05).Compared with the two groups,the observation group had a higher chance of natural delivery and a lower chance of vaginal assisted delivery and cesarean delivery;compared with the two groups,the observation group had a higher neonatal Apgar score(P<0.05);compared with the two groups,the observation group had a lower incidence of adverse events in delivery(P<0.05).Conclusion Midwives combined with family-accompanied care applied to primiparous delivery can shorten the labor process,reduce maternal psychological stress and pain,which is conducive to increasing the rate of spontaneous delivery and reducing the incidence of adverse events in labor.

primiparous womenmode of deliverypostpartum depressionadverse birth events

慕晓瑞、魏园、雷迎亚、孙真

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许昌市妇幼保健院 产房,河南 许昌 46100

初产妇 分娩方式 产后抑郁 分娩不良事件

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(5)
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