摘要
目的:探讨由有分娩经验的助产士陪伴孕妇分娩——Doula式分娩,对提高产时保健质量的效果。方法:对46例初产妇(观察组)采用Doula式分娩的临床观察,并与同期进入活跃期后仅有家属陪伴的初产妇336例(对照组)比较。结果:观察组剖宫产率6.5%,对照组20.8%,两组比较差异有显著性(P<0.05);总产程与产后出血量,观察组也明显降低(P<0.05)。结论:应用Doula式分娩,降低了剖宫产率、缩短了产程,并减少了产后出血。
Objective: To improve the obstetricare quality during labour and delivery, our hospital carried out Doula delivery which is an appropriate technology in promoting natural delivery reported by Dr M klaus, USA. Methods: Mothers were accompanied by senior experienced midwife who afforded continuous physical, psychological and emotional support during the whole course of labour. From April to August 1996, 46 cases of primigravida were selected as study group. Another 336 primigravida given birth in the same period were taken as controls, who were accompanied by their family member during their active phase of labour. Results: The results showed that the cesarean section rate was 6.5% in Doula group while 20.8% in the control group. The difference was significant (P<0.05). The duration of labour and volume of postpartum bleeding both declined obviously in the study group (P<0.05). Conclusion: Doula delivery offered better quality of health care during labour and decreased cesarean section rate duration of labour and postpartum bleeding.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1997年第11期659-661,共3页
Chinese Journal of Obstetrics and Gynecology