药物镇痛分娩结合导乐陪伴分娩对妊娠结局的影响
The effect of analgesic drug delivery combined with Doula accompanying delivery on pregnancy outcome
廖小梅 1张逢春1
作者信息
- 1. 361001 厦门大学附属第一医院思明院区
- 折叠
摘要
目的 观察药物镇痛分娩结合导乐陪伴分娩对妊娠结局的影响,为产妇顺利分娩提供参考方案.方法 200 例入产房待产孕妇,以随机数字表法分成对照组与观察组,各 100 例.对照组开展导乐陪伴分娩,观察组开展药物镇痛分娩结合导乐陪伴分娩.比较两组产妇产程中的疼痛程度,总产程时间,分娩方式、对分娩干预的满意度,分娩幸福指数.结果 观察组自然分娩率 97.00%及对分娩干预的满意度 100.00%高于对照组的 89.00%、86.00%,两组相比具有显著的差异性(P<0.05).观察组产妇第一、二、三产程数字疼痛评分法(NRS)评分分别为(2.36±0.69)、(1.53±0.56)、(0.28±1.05)分,低于对照组的(4.43±1.17)、(3.67±0.84)、(1.37±0.96)分,两组相比具有显著的差异性(P<0.05).观察组产妇总产程时间(6.83±1.43)h短于对照组的(7.96±1.86)h,两组相比具有显著的差异性(P<0.05).观察组产妇分娩幸福指数(88.15±1.44)分高于对照组的(34.03±3.73)分,两组相比具有显著的差异性(P<0.05).结论 采用药物镇痛分娩结合导乐陪伴分娩能减轻产妇宫缩痛及缩短产程,并提高顺产的比例,改善妊娠结局,提升产妇分娩幸福指数,效果理想.
Abstract
Objective To observe the impact of analgesic drug delivery combined with Doula accompanying delivery on pregnancy outcome,so as to provide a reference plan for smooth delivery for postpartum women.Methods 200 pregnant women in the delivery room were divided into a control group and an observation group using a random number table method,with 100 cases in each group.The control group received Doula accompanying delivery,while the observation group received analgesic drug delivery combined with Doula accompanying delivery.The pain intensity,total duration of labor,mode of delivery,satisfaction with delivery interventions,and delivery happiness index were compared between two groups of pregnant women during the observation period.Results In the observation group,the rate of natural delivery was 97.00%and the satisfaction with delivery intervention was 100.00%,which were higher than 89.00%and 86.00%in the control group,there was a significant difference between the two groups(P＜0.05).The maternal numerical rating scale(NRS)scores for the first,second and third stages of labor in the observation group were(2.36±0.69),(1.53±0.56)and(0.28±1.05)points,which were lower than(4.43±1.17),(3.67±0.84)and(1.37±0.96)points in the control group,there was a significant difference between the two groups(P＜0.05).The total duration of labor of(6.83±1.43)h in the observation group was shorter than(7.96±1.86)h in the control group,there was a significant difference between the two groups(P＜0.05).The delivery happiness index of(88.15±1.44)points in the observation group was higher than(34.03±3.73)points in the control group,there was a significant difference between the two groups(P＜0.05).Conclusion Combining analgesic drug delivery with Doula accompanying delivery can alleviate uterine contractions and shorten the duration of labor,increase the proportion of natural delivery,improve pregnancy outcomes,and increase the delivery happiness index.The effect is ideal.
关键词
药物镇痛分娩/导乐陪伴分娩/结合干预/妊娠结局Key words
Analgesic drug delivery/Doula accompanying delivery/Combined intervention/Pregnancy outcome引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据