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自由体位联合导乐法助产在无痛分娩初产妇中的应用效果

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目的:观察自由体位联合导乐法助产在无痛分娩初产妇中的应用效果.方法:回顾性分析 2021 年 3 月至 2022 年 1 月该院收治的 75 名初产妇的临床资料,根据助产方法不同将其分为对照组 37 名和观察组 38 名.两组待产过程中均给予常规护理,对照组采用导乐法助产,观察组在对照组基础上联合自由体位助产,比较两组分娩控制感评分,第一产程、第二产程及第三产程时间,分娩中麻醉镇痛药物用量,以及分娩方式和新生儿Apgar评分.结果:观察组分娩控制感评分高于对照组,差异有统计学意义(P<0.05);观察组第一产程、第二产程时间均短于对照组,差异有统计学意义(P<0.05);两组第三产程时间比较,差异无统计学意义(P>0.05);观察组分娩中盐酸罗哌卡因与舒芬太尼混合液用量少于对照组,差异有统计学意义(P<0.05);观察组自然分娩率和新生儿Apgar评分均高于对照组,差异有统计学意义(P<0.05).结论:自由体位联合导乐法助产应用于无痛分娩初产妇可提高分娩控制感评分、自然分娩率和新生儿Apgar评分,缩短第一产程和第二产程时间,减少分娩中麻醉镇痛药物用量,效果优于单纯导乐法助产.
Application effects of free position combined with Doula midwifery in painless delivery of primiparas
Objective:To observe application effects of free position combined with Doula midwifery in painless delivery of primiparas.Methods:The clinical data of 75 primiparas admitted to the hospital from March 2021 to January 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group(37 cases)and observation group(38 cases).Both groups were given routine nursing during labor.The control group was given Doula midwifery,while the observation group was combined with free position midwifery on the basis of that of the control group.The childbirth control sense score,the first stage of labor,the second stage of labor and the third stage of labor time,the dosage of anesthetic and analgesic drugs during delivery,the mode of delivery,and the neonatal Apgar score were compared between the two groups.Results:The childbirth control sense score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The first stage of labor and the second stage of labor time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the third stage of labor between the two groups(P>0.05).The dosage of Ropivacaine hydrochloride and Sufentanil mixture in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).Further,the natural birth rate and the neonatal Apgar score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The free position combined with Doula midwifery in the painless delivery of the primiparas can improve the childbirth control sense scores,the natural delivery rate and the neonatal Apgar scores,shorten the first stage of labor and the second stage of labor time,and reduce the dosage of anesthetic and analgesic drugs during delivery.Moreover,it is superior to single Doula midwifery.

Free positionDoulaMidwiferyPainless deliveryPrimiparaChildbirth control senseNatural birth rate

戴丽峰、洪娅翠

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泉州市妇幼保健院儿童医院产科,福建 泉州 362000

自由体位 导乐法 助产 无痛分娩 初产妇 分娩控制感 自然分娩率

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(8)
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