| 摘要: |
| ［摘要］ 目的 探讨全产程导乐陪伴联合无保护会阴分娩接生技术的临床应用效果。方法 选取2014-01～2014-12住院分娩的足月、单胎、头位、无高危孕妇200例，按孕妇本人意愿分为观察组（开展导乐服务）和对照组（传统接生方法）各100例。比较两组产妇出血量、第一产程时间、剖宫产率、会阴切开率及产妇满意度等。结果 观察组和对照组的出血量分别为（182.60±50.78）ml和（255.00±114.83）ml，平均产程时间为（5.36±1.48）h和（9.06±1.02）h，会阴切开率为9%和33%，剖宫产率为15%和33%，产妇满意度为98%和83%，均P<0.01。结论 导乐陪伴分娩能有效地降低剖宫产率，提高阴道分娩率，促进母婴健康，值得进一步推广应用。 |
| 关键词: 导乐陪伴分娩 无保护 会阴切开率 |
| DOI：10.3969/j.issn.1674-3806.2016.06.11 |
| 分类号:R 714 |
| 基金项目:广西卫计委科研课题（编号：Z2013760） |
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| The clinical effect of Doula combined with unprotected delivery on natural childbirth |
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HUANG Dan-dan, YANG Ling-ling
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Department of Obstetrics, Maternal and Children′s Hospital of Wuming District, Guangxi 530100, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical effect of Doula combined with unprotected delivery on natural childbirth.Methods Two hundred cases with full-term birth, single birth, natural head position and without high-risk gravid in the Maternal and Children′s Hospital of Wuming District from January 2014 to December 2014 were randomly divided into the observation group(treated with Doula delivery, n=100) and the control group(treated with traditional delivery, n=100). The bleeding volume, duration of delivery, cesarean section rate, episiotomy rate and the degree of satisfaction of the women were compared between the two groups.Results There were significant differences between the observation group and the control group in the bleeding volume［(182.60±50.78)ml vs (255.00±114.83)ml］, in the average duration of labor［(5.36±1.48)h vs (9.06±1.02) h］, in the episiotomy rate（9% vs 33%）, in the cesarean section rate（15% vs 33%）, and in the degree of satisfaction（98% vs 83%）, P<0.01.Conclusion Doula delivery effectively reduces the rate of cesarean section and increases the rate of vaginal delivery. |
| Key words: Doula delivery Unprotected delivery Rate of episiotomy |
