助产士全程陪护对初产妇自然分娩结局影响分析

摘要

目的：探讨助产士全程陪护对初产妇自然分娩结局的影响。方法回顾性分析2014年1月～2015年6月笔者所在医院妇产科住院的108例自然分娩的初产妇临床资料，根据分娩陪护方式不同，将其分为观察组与对照组，每组各54例，观察组给予助产士全程陪护；对照组采用常规方式助产。结果观察组产妇自产程启动至胎儿娩出总产程时间（8.89±1.52）h 与产后2h 出血量（142.37±39.61）mL,分别明显少于对照组（13.47±2.07）h、（187.95±90.38）mL，差异具有统计学意义（P ＜0.05）。而观察组与对照组新生儿5min Apgar 评分分别为（9.08±0.83）分、（8.97±1.04）分，差异无统计学意义（P ＞0.05）。两组孕妇入院时均有中度焦虑，而产后观察组产妇 SAS 评分明显低于对照组，差异具有统计学意义（P ＜0.05）。出院时，观察组产妇满意度为98.15%，明显高于对照组88.89%，具有统计学意义（χ2=8.482，P ＜0.05）。结论助产士全程陪护初产妇，可明显缩短产程，减少产后出血，降低产妇焦虑程度，提高满意度，值得临床推广应用。%Objective To investigate the effect of midwives full-course nusing in natural labor primipara to the delivery outcome. Methods Clinical data of 108 cases of natural labor primipara were analyzed retrospectively, who were in the author's Hospital from Juanary 2015 to January 2014. According to the different ways of childbirth care,they were divided into observation group and control group,54 cases in each group.The observation group was given the midwives full-course nusing,and the control group was given routine midwifery. Result The total labor time and two hours postpartum hemorrhage of the observation group were (8.89+1.52)h and(142.37 +39.61) mL,respectively,which were significantly less than those of the control group (13.47+2.07)h and (187.95+90.38)mL, with statistical significance (P < 0.05).The neonatal Apgar score of the observation group and the control group were (9.08+0.83) and (8.97+1.04),and there was no significant difference (P > 0.05).On admission,the pregnant women of the two groups were moderate anxiety.Postpartum observation group SAS score was significantly lower than that of the control group, the difference was significant, with statistical significance (P > 0.05).At the time of discharge, the observation group satisfaction was 98.15%, and was significantly higher than the control group (88.89%),with statistical difference (χ2=8.482, P > 0.05). Conclusion Midwives full-course nusing in natural labor primipara can shorten the birth process,reduce postpartum bleeding and reduce anxiety,improve satisfaction.It is worthy of clinical application.