摘要
目的:探讨导乐陪伴分娩对产妇心理状态、分娩方式、产程时间、产后2h出血量和新生儿窒息率的影响。方法:选取本院2012年5月～7月100例健康无难产指征的单胎产妇,遵循自愿原则分为导乐陪伴组(观察组)和非导乐陪伴组(对照组)各50例。导乐组由1名有经验的助产士和产妇家属陪伴,在分娩过程中给予精神鼓励、心理安慰、生活支持和产程监护;对照组以产科交接班模式进行一般心理护理和常规待产处理。两组产妇分别于出现临产先兆时和产后24h内以焦虑自评量表(SAS)及抑郁自评量表(SDS)评定心理状态;观察两组在心理状态,经阴道分娩率、剖宫产率、总产程时间、产后2h出血量及新生儿窒息率方面的差异。结果:观察组分娩后SDS评分明显低于对照组分娩后,差异有统计学意义(P=0.007),分娩前SDS评分差异无统计学意义(P>0.05);两组分娩前后SAS评分经比较有差异性,无统计学意义(P=1.000);两组在经阴道分娩率、总产程时间、产后2h出血量和新生儿窒息率方面比较差异无统计学意义(P>0.05)。结论:导乐陪伴分娩使产妇在心理上得到极大的支持,缓解了其紧张、焦虑的心理状态,促进产程的进展,从而提高自然分娩的质量,并在一定程度上减少了产后抑郁的发生。
Objective To discuss the effect of doula accompanied delivery on psychological status of pregnant women, delivery mode, delivery time, postpartum hemorrhage and neonate asphyxia. Method 100 single fetal maternal of our hospital from May 2012 to July selected as 50 women with doula support（study group） and 50 women without doula group support（control group） voluntarily. The doula group consist of one experienced midwife and a family member of the puerpera, who can give the Spiritual encouragement, psychological comfort, life support and process monitoring during the delivery. While the control group were received the general psychological nursing and the conventional lie in processing. Both groups were investigated Self Rating Anxiety Scale （SAS） and Self- Rating Depression Scale （SDS）. To observe the difference on psychological status, the rate of vaginal delivery and cesarean section, total labor duration, the amount of postpartum hemorrhage in first 2 hours and the neonate asphyxia rate between the two group. Result While there was no significant differences in SDS score before delivery （P〉0.05）, the SDS score after delivery in the doula group was lower than the control group with statistically significant （P =0.007）. Without statistically significant, the vaginal rate, total labor duration, the volume of hemorrhage and the rate of neonate asphyxia were also difference. Conclusion The doula delivery mode can provide great psychological support, reduce the nervous and anxiety state, promote the progress of the labor and enhance vaginal delivery. Therefore, to a certain extent reduced the occurrence of postpartum depression.
出处
《中国美容医学》
CAS
2012年第11X期92-93,共2页
Chinese Journal of Aesthetic Medicine
关键词
导乐
心理状态
产后抑郁
doula
psychological status
Postpartum depression
