导乐陪伴分娩对无痛分娩产妇分娩结局的影响探讨

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中文摘要：目的探讨导乐陪伴分娩对无痛分娩产妇分娩结局的影响。方法选取 120 例于 2022 年8 月 1 日～2023 年 8 月 31 日期间入院的无痛分娩的产妇纳入本研究，以随机数字表法分为对照组与试验组，每组 60 例。对照组执行常规无痛分娩，试验组执行导乐陪伴无痛分娩。对比两组不同产程耗时、自控感评分、分娩方式、母婴结局情况以及产前、后泌乳素改变情况。结果分娩后，与对照组(20。00%、80。00%)对比，试验组剖宫产率(3。33%)更低，顺产率(96。67%)更高(P<0。05)。分娩后，与对照组[(6。29±0。45)h、(1。45±0。32)h、(7。99±0。39)min]对比，试验组第一、第二、第三产程耗时[(4。18±0。42)h、(0。56±0。26)h、(7。62±0。34)min]更短(P<0。05);与对照组(118。76±12。43)分对比，试验组自控感评分(173。72±15。92)分更高(P<0。05)。分娩后，与对照组(11。67%、6。67%、25。86%)对比，试验组产后出血、新生儿窒息、会阴侧切发生率(1。67%、0、8。62%)更低(P<0。05)。产前，组间泌乳素对比无差异(P>0。05);产后 2、24 h，组间泌乳素对比，试验组更高(P<0。05)。结论导乐陪伴分娩可有效改善无痛分娩产妇分娩结局，提升自控感，缩短产程耗时，提高顺产率，增加产后泌乳素水平，临床应用价值显著。

外文标题：Study on the effect of doula accompanying delivery on delivery outcome of parturients undergoing painless delivery

外文摘要：Objective To explore the effect of doula accompanying delivery on delivery outcome of parturients undergoing painless delivery.Methods A total of 120 parturients admitted for painless delivery between August 1,2022 and August 31,2023 were selected and divided into a control group and an experimental group by random number table method,with 60 cases in each group.The control group received routine painless delivery,and the experimental group received doula accompanying painless delivery.Both groups were compared in terms of duration of labor,self-control score,delivery mode,maternal and infant outcomes and prenatal and postnatal prolactin changes.Results After delivery,the cesarean section rate(3.33% )was lower and the normal delivery rate(96.67% )was higher in the experimental group compared to the control group(20.00% and 80.00% )(P<0.05).After delivery,the duration of the first,second and third stages of labor[(4.18±0.42)h,(0.56±0.26)h and(7.62±0.34)min]was shorter in the experimental group compared to the control group[(6.29±0.45)h,(1.45±0.32)h and(7.99±0.39)min](P<0.05).Compared with(118.76±12.43)points in the control group,the self-control sense score in the experimental group was higher at(173.72±15.92)points(P<0.05).After delivery,the incidence of postpartum hemorrhage,neonatal asphyxia,and episiotomy(1.67%,0,and 8.62% )was lower in the experimental group compared to the control group(11.67%,6.67%,and 25.86% )(P<0.05).Prenatally,there was no difference in the comparison of prolactin between the groups(P>0.05).At 2 and 24 h postpartum,the comparison of prolactin between groups was higher in the experimental group(P<0.05).Conclusion Doula accompanied delivery can effectively improve the delivery outcome of painless delivery,enhance the sense of self-control,shorten the duration of labor,improve the vaginal delivery rate,and increase the postnatal prolactin level,which has significant clinical application value.

外文关键词：

Doula accompanying deliveryPainless deliveryDelivery outcomeDuration of labor

作者：

叶梅景、郑佳玲

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作者单位：

361001 厦门大学附属第一医院

关键词：

导乐陪伴分娩无痛分娩分娩结局产程耗时

出版年：

2024

DOI：