[1]吴南燕.导乐分娩及分娩镇痛仪联合应用对妊娠结局及产妇负面情绪的影响[J].医学信息,2020,33(24):122-124.[doi:10.3969/j.issn.1006-1959.2020.24.034]
　WU Nan-yan.The Effect of Combined Application of Doula Labor and Labor Analgesia on Pregnancy Outcome and Negative Emotion of Parturient[J].Medical Information,2020,33(24):122-124.[doi:10.3969/j.issn.1006-1959.2020.24.034]
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导乐分娩及分娩镇痛仪联合应用对妊娠结局及产妇负面情绪的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年24期
页码:
122-124
栏目:
临床研究
出版日期:
2020-12-15

文章信息/Info

Title:
The Effect of Combined Application of Doula Labor and Labor Analgesia on Pregnancy Outcome and Negative Emotion of Parturient
文章编号:
1006-1959（2020）24-0122-03
作者:
吴南燕
上饶市广信区人民医院妇产科，江西 上饶 334100
Author(s):
WU Nan-yan
Department of Obstetrics and Gynecology,Guangxin District People’s Hospital,Shangrao 334100,Jiangxi,China
关键词:
导乐分娩; 无痛分娩; 妊娠结局; 负面情绪
Keywords:
Doula delivery; Painless delivery; Pregnancy outcome; Negative emotion
分类号:
R714
DOI:
10.3969/j.issn.1006-1959.2020.24.034
文献标志码:
A
摘要:
目的 观察导乐分娩及分娩镇痛仪联合应用对妊娠结局及产妇负面情绪的影响。方法 选取2017年5月~2020年5月在我院分娩的62例产妇为研究对象，采用随机数字表法分为对照组和观察组，各31例。对照组采用传统方式分娩，观察组实施导乐分娩联合应用分娩镇痛仪，比较两组分娩方式、胎儿窘迫发生率、新生儿Apgar评分、分娩后焦虑和抑郁发生情况、各产程时间、出血量、疼痛评分、产后产妇和新生儿并发症发生情况。结果 观察组自然分娩率高于对照组，剖宫产率、胎儿窘迫发生率均低于对照组，差异有统计学意义（P＜0.05）；观察组新生儿Apgar评分高于对照组，差异有统计学意义（P＜0.05）；分娩后两组焦虑、抑郁评分均低于分娩前，且观察组低于对照组，差异有统计学意义（P＜0.05）；观察组第一、第二产程时间均短于对照组，差异有统计学意义（P＜0.05），第三产程与对照组比较，差异无统计学意义（P＞0.05）；观察组出血量、疼痛评分均小于对照组，差异有统计学意义（P＜0.05）；观察组产后产妇大出血、尿潴留、感染以及新生儿窒息发生率均低于对照组，差异有统计学意义（P＜0.05）。结论 导乐分娩联合分娩镇痛仪可促进分娩，改善不良妊娠结局，促进产程进展，减少出血量，减轻分娩疼痛，提高自然分娩率，降低焦虑、抑郁及并发症发生率，促进产妇产后恢复。
Abstract:
Objective To observe the effect of combined application of Doula delivery and delivery analgesia on pregnancy outcome and negative emotions of parturients.Methods A total of 62 parturients who gave birth in our hospital from May 2017 to May 2020 were selected as the research objects, and were divided into the control group and the observation group by random number table method, with 31 cases in each group. The control group gave birth in a traditional way, and the observation group performed Doula delivery combined with an analgesic device.Compare the two components of delivery methods, the incidence of fetal distress, the Apgar score of newborns, the occurrence of postpartum anxiety and depression, the time of each labor process, the amount of bleeding, the pain score, the occurrence of postpartum maternal and neonatal complications.Results The natural delivery rate of the observation group was higher than that of the control group. The rate of cesarean section and the incidence of fetal distress were lower than those of the control group,the difference was statistically significant (P<0.05); the Apgar score of the observation group was higher than that of the control group,the difference was statistically significant (P<0.05); the anxiety and depression scores of the two groups after delivery were lower than those before delivery, and the observation group was lower than the control group, the difference was statistically significant (P<0.05);The first and second stages of labor in the observation group were shorter than those in the control group,the difference was statistically significant (P<0.05).Compared with the control group, the difference in the third stage of labor was not statistically significant (P>0.05);The bleeding volume and pain scores of the observation group were lower than those of the control group,the difference was statistically significant (P<0.05); the incidence of postpartum maternal hemorrhage, urinary retention, infection, and neonatal asphyxia in the observation group were lower than those of the control group,the difference was statistically significant (P<0.05).Conclusion Doula delivery combined with labor analgesia can promote delivery, improve adverse pregnancy outcomes, promote labor progress, reduce bleeding, relieve labor pain, increase natural delivery rate, reduce anxiety, depression and complications, and promote maternal postpartum recovery.

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更新日期/Last Update: 1900-01-01