摘要
目的调查我国医疗机构自由体位分娩技术的开展现状及分析未开展的原因,为今后开展助产相关培训及针对性干预提供参考。方法采用自行设计的助产人力资源及适宜技术应用现状调查表,对北京、上海、河北、浙江、四川等22个省、直辖市、自治区的1 213所医疗机构开展自由体位产程技术现状进行调查。结果 1 213所医疗机构中,开展自由体位分娩的医院有1 138所(93.8%),其中473所(41.6%)仅在第一产程实行自由体位,19所(1.7%)仅在在第二产程实行自由体位;在第一产程阶段,未开展自由体位分娩的原因主要是人员不够(46.8%)、空间不足(31.9%)和安全隐患(45.7%);在第二产程阶段,未开展自由体位分娩的原因主要是安全隐患(51.5%)、助产士未经过培训(53.1%)、人员不足(43.1%)。结论我国自由体位分娩的开展情况参差不齐,应在人员、空间、专业技能上对开展自由体位分娩提供支持。
Objective To investigate the present situation of free posture labor in China and analyze the reasons why it is not carried out,so as to provide references for developing appropriate midwifery training and formulating relevant intervention measures in the future.Methods A self-designed questionnaire was used to investigate the current situation of free posture labor in 1213 medical institutions in 22 provinces,municipalities or autonomous regions.Results Of the 1213 medical institutions,1,138(93.8%)carried out free posture labor,of which 473(41.6%)practiced free posture labor in the first stage,and 19(1.7%)practiced in the second stage alone.The main reasons for not carrying out free posture labor at the first stage included understaffing(46.8%),insufficient space(31.9%)and safety concerns(45.7%).The main reasons for not carrying out free posture labor at second stage included safety concerns(51.5%),midwives untrained for free posture labor(53.1%),and understaffing(43.1%).Conclusion The practice of free posture labor in China is uneven.We should beef up support in staffing,space and professional skills.
作者
卢常平
罗碧如
姜梅
徐鑫芬
Lu Changping;Luo Biru;Jiang Mei;Xu Xinfen(Key Laboratory of Birth Defects and Related Diseases of Women and Children,Sichuan University,Ministry of Education,West China Second University Hospital/West China School of Nursing,Sichuan University,Chengdu 610041,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第12期8-11,共4页
Journal of Nursing Science
关键词
分娩
自由体位
产科资源
助产技术
助产士
产程
产科护理
现状调查
labor
free postures
obstetric resource
midwifery technology
nurse midwives
stages of labor
obstetric care
investigation into current status
