目的探讨助产士主导伙伴式导乐陪伴下无创分娩干预对产妇产程、疼痛与分娩结局影响。方法选择2024年1月至8月江西省妇幼保健院收治的160例自然分娩的产妇作为研究对象。采用随机数字表法将其分为干预组(n=80)和传统组(n=80),干预组采用...目的探讨助产士主导伙伴式导乐陪伴下无创分娩干预对产妇产程、疼痛与分娩结局影响。方法选择2024年1月至8月江西省妇幼保健院收治的160例自然分娩的产妇作为研究对象。采用随机数字表法将其分为干预组(n=80)和传统组(n=80),干预组采用助产士主导伙伴式导乐陪伴的无创分娩干预方案,传统组采用常规助产干预分娩方案。比较两组的产程、不同时间疼痛评分与分娩结局。结果干预组第一产程、第二产程、第三产程时间短于传统组,差异有统计学意义(P<0.05)。干预组分娩时(T_(1))、产后1 d(T_(2))、产后7 d(T_(3))时疼痛评分低于传统组,差异有统计学意义(P<0.05)。两组T_(1)、T_(2)、T_(3)时疼痛评分低于T0时,差异有统计学意义(P<0.05)。两组患者疼痛评分时间、组间、交互作用比较,差异有统计学意义(P<0.05)。干预组患者产后24 h出血量低于传统组,差异有统计学意义(P<0.05)。两组新生儿Apgar评分组间、交互作用比较,差异无统计学意义(P>0.05)。两组新生儿出生后1、5、10 min Apgar评分比较,差异无统计学意义(P>0.05)。两组新生儿出生后5、10 min Apgar评分高于出生后1 min时,差异有统计学意义(P<0.05)。结论助产士主导伙伴式导乐陪伴下无创分娩能够推进产妇产程进展,减轻疼痛感,改善分娩结局,值得临床推广应用。展开更多
目的:探讨应用非药物分娩镇痛仪(导乐仪))联合导乐陪伴对分娩方式和分娩结局的影响。方法:将2014年8月～2015年8月在哈尔滨医科大学附属四院产科住院传统方式分娩的450例产妇设为对照组,2016年9月～2017年9月应用导乐仪联合导乐陪伴分娩...目的:探讨应用非药物分娩镇痛仪(导乐仪))联合导乐陪伴对分娩方式和分娩结局的影响。方法:将2014年8月～2015年8月在哈尔滨医科大学附属四院产科住院传统方式分娩的450例产妇设为对照组,2016年9月～2017年9月应用导乐仪联合导乐陪伴分娩的500例产妇设为观察组,比较两组产妇分娩活跃期的疼痛评分、分娩方式、产程时间、产后出血情况、新生儿窒息率、产后初乳分泌时间、纯母乳喂养率及产后抑郁的发生情况。结果:与对照组相比,观察组产妇中重度疼痛比例明显低于对照组(P<0.01),剖宫产率明显降低,总产程明显缩短,经阴分娩率显著升高(P<0.01)。观察组产妇产后出血量112.3±38.6 m L,明显低于对照组(152.7±80.5 m L,P<0.05)。观察组新生儿窒息率(1.6%)显著低于对照组(12.8%,P<0.05),初乳分泌时间明显短于对照组(P<0.05),且纯母乳喂养率显著高于对照组(P<0.05),产后抑郁倾向发生率显著低于对照组(P<0.01)。结论:非药物分娩镇痛仪联合导乐陪伴分娩缩短了产程,降低了新生儿窒息率,减少了产后出血,也提高了自然分娩率和产妇的满意率。展开更多
Objective:This study aimed to evaluate the effectiveness and benefits of doula services by comparing satisfaction with the childbirth experience between women who received doula support and those who did not.Methods:A...Objective:This study aimed to evaluate the effectiveness and benefits of doula services by comparing satisfaction with the childbirth experience between women who received doula support and those who did not.Methods:A correlational comparative research design with a quantitative approach was utilized.Purposive sampling was used to gather participants.The collected data were analyzed using MS Excel and the Statistical Package for Social Sciences(SPSS).Statistical methods included the Mean,Pearson correlation,and Wilcoxon test.In this study,an online survey questionnaire was disseminated in Shijiazhuang City,Hebei Province.Results:Findings showed that expectant mothers who received doula support reported high satisfaction across various domains,whereas those without doula support had lower satisfaction during childbirth.Conclusion:The results suggest that doula support is important for expectant mothers,as it helps to reduce stress and anxiety during labor and delivery.Integrating doula support into maternity care can enhance the childbirth experience,leading to higher satisfaction and improved outcomes.展开更多
文摘目的探讨助产士主导伙伴式导乐陪伴下无创分娩干预对产妇产程、疼痛与分娩结局影响。方法选择2024年1月至8月江西省妇幼保健院收治的160例自然分娩的产妇作为研究对象。采用随机数字表法将其分为干预组(n=80)和传统组(n=80),干预组采用助产士主导伙伴式导乐陪伴的无创分娩干预方案,传统组采用常规助产干预分娩方案。比较两组的产程、不同时间疼痛评分与分娩结局。结果干预组第一产程、第二产程、第三产程时间短于传统组,差异有统计学意义(P<0.05)。干预组分娩时(T_(1))、产后1 d(T_(2))、产后7 d(T_(3))时疼痛评分低于传统组,差异有统计学意义(P<0.05)。两组T_(1)、T_(2)、T_(3)时疼痛评分低于T0时,差异有统计学意义(P<0.05)。两组患者疼痛评分时间、组间、交互作用比较,差异有统计学意义(P<0.05)。干预组患者产后24 h出血量低于传统组,差异有统计学意义(P<0.05)。两组新生儿Apgar评分组间、交互作用比较,差异无统计学意义(P>0.05)。两组新生儿出生后1、5、10 min Apgar评分比较,差异无统计学意义(P>0.05)。两组新生儿出生后5、10 min Apgar评分高于出生后1 min时,差异有统计学意义(P<0.05)。结论助产士主导伙伴式导乐陪伴下无创分娩能够推进产妇产程进展,减轻疼痛感,改善分娩结局,值得临床推广应用。
文摘目的:探讨应用非药物分娩镇痛仪(导乐仪))联合导乐陪伴对分娩方式和分娩结局的影响。方法:将2014年8月～2015年8月在哈尔滨医科大学附属四院产科住院传统方式分娩的450例产妇设为对照组,2016年9月～2017年9月应用导乐仪联合导乐陪伴分娩的500例产妇设为观察组,比较两组产妇分娩活跃期的疼痛评分、分娩方式、产程时间、产后出血情况、新生儿窒息率、产后初乳分泌时间、纯母乳喂养率及产后抑郁的发生情况。结果:与对照组相比,观察组产妇中重度疼痛比例明显低于对照组(P<0.01),剖宫产率明显降低,总产程明显缩短,经阴分娩率显著升高(P<0.01)。观察组产妇产后出血量112.3±38.6 m L,明显低于对照组(152.7±80.5 m L,P<0.05)。观察组新生儿窒息率(1.6%)显著低于对照组(12.8%,P<0.05),初乳分泌时间明显短于对照组(P<0.05),且纯母乳喂养率显著高于对照组(P<0.05),产后抑郁倾向发生率显著低于对照组(P<0.01)。结论:非药物分娩镇痛仪联合导乐陪伴分娩缩短了产程,降低了新生儿窒息率,减少了产后出血,也提高了自然分娩率和产妇的满意率。
文摘Objective:This study aimed to evaluate the effectiveness and benefits of doula services by comparing satisfaction with the childbirth experience between women who received doula support and those who did not.Methods:A correlational comparative research design with a quantitative approach was utilized.Purposive sampling was used to gather participants.The collected data were analyzed using MS Excel and the Statistical Package for Social Sciences(SPSS).Statistical methods included the Mean,Pearson correlation,and Wilcoxon test.In this study,an online survey questionnaire was disseminated in Shijiazhuang City,Hebei Province.Results:Findings showed that expectant mothers who received doula support reported high satisfaction across various domains,whereas those without doula support had lower satisfaction during childbirth.Conclusion:The results suggest that doula support is important for expectant mothers,as it helps to reduce stress and anxiety during labor and delivery.Integrating doula support into maternity care can enhance the childbirth experience,leading to higher satisfaction and improved outcomes.
