摘要
目的:推广导乐陪伴分娩,降低剖宫产率,促进自然分娩。方法:对150例导乐陪伴分娩和150例非导乐陪伴分娩的剖宫产率、新生儿窒息率和产后出血率及产程时间进行比较。结果:导乐陪伴分娩组的剖宫产率(14.00%)显著低于非导乐陪伴分娩组(36.00%),导乐陪伴分娩组经阴道分娩的难产率(2.33%)显著低于后者(9.38%),导乐陪伴分娩组产后出血发生率(4.67%)显著低于非导乐陪伴分娩组(14.67%)。两组新生儿窒息率无显著性差异。结论:导乐陪伴分娩作为一种新的产时服务模式,可显著降低剖宫产率,且不增加新生儿窒息率,可显著减少产后出血的发生,缩短产程,是一种值得推广的方法。
Objective： Popularize Doula delivery, which can reduce cesarean section rate, promote natural delivery, improve the relationship between doctor and patient. Methods： Compare the cesarean section rate, neonatal asphyxia rate, postpartum hemorrhage rate and parturition process of doula （150 cases ）, and non-doula accompanied （150 cases ） delivery. Results： The cesarean section rate, dystocia rate of delivery, postpartum hemorrhage rate of doula delivery are all significantly lower than that of non-doula group. The neonatal asphyxia rate between these two groups has no significance. Condusion： Doula accompanied delivery as a new delivery service model may reduce the rate of cesarean section and postpartum hemorrhage, decrease the process of parturition, and no correlation with neonatal asphyxia, which is worth to application in clinical practice .
出处
《军医进修学院学报》
CAS
北大核心
2008年第5期376-377,共2页
Academic Journal of Pla Postgraduate Medical School
关键词
导乐陪伴分娩
剖宫产术
产后出血
窒息
新生儿
doula accompanied delivery
cesarean section
postpartum hemorrhage
asphyxia, neonatal
