[1]陈晶晶,朱钦芳.温馨助产服务模式联合产时体位管理对初产妇分娩产程及分娩质量的影响[J].医学信息,2022,35(04):140-142.[doi:10.3969/j.issn.1006-1959.2022.04.036]
　CHEN Jing-jing,ZHU Qin-fang.Effect of Warm Midwifery Service Mode Combined with Body Position Managementon Delivery Process and Delivery Quality of Primipara[J].Medical Information,2022,35(04):140-142.[doi:10.3969/j.issn.1006-1959.2022.04.036]
点击复制

温馨助产服务模式联合产时体位管理对初产妇分娩产程及分娩质量的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年04期
页码:
140-142
栏目:
临床研究
出版日期:
2022-02-15

文章信息/Info

Title:
Effect of Warm Midwifery Service Mode Combined with Body Position Managementon Delivery Process and Delivery Quality of Primipara
文章编号:
1006-1959（2022）04-0140-03
作者:
陈晶晶; 朱钦芳
万安县中医院妇产科，江西 万安 343818
Author(s):
CHEN Jing-jing; ZHU Qin-fang
Department of Obstetrics and Gynecology,Wan’an County Hospital of Traditional Chinese Medicine,Wan’an 343818,Jiangxi,China
关键词:
温馨助产服务; 体位管理; 初产妇; 分娩质量
Keywords:
Warm midwifery service; Position management; Primipara; Quality of delivery
分类号:
R71
DOI:
10.3969/j.issn.1006-1959.2022.04.036
文献标志码:
A
摘要:
目的 观察温馨助产服务模式联合产时体位管理对初产妇分娩产程及质量的影响。方法 选取2019年3月-2020年3月在我院分娩的72例初产妇为研究对象，采用随机数字表法分为对照组和观察组，各36例。对照组采用常规助产方法，观察组采用温馨助产服务模式联合产时体位管理，比较两组分娩方式、不同产程时间、新生儿Apgar评分、分娩疼痛评分、产后出血量，以及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、第二产程短于对照组，差异有统计学意义（P＜0.05）；两组第三产程比较，差异无统计学意义（P＞0.05）；观察组新生儿Apgar评分高于对照组，分娩疼痛评分、产后出血量均低于对照组，差异有统计学意义（P＜0.05）；观察组产妇产后感染、新生儿并发症发生率均低于对照组，差异有统计学意义（P＜0.05）。结论 温馨助产服务模式联合产时体位管理可提高初产妇自然分娩率，降低剖宫产率，缩短第一、第二产程，减轻分娩疼痛，减少产后出血量，降低产后及新生儿并发症发生率。
Abstract:
Objective To observe the effect of warm midwifery service mode combined with body position management on delivery process and delivery quality of Primipara.Methods A total of 72 primiparas who delivered in our hospital from March 2019 to March 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 36 cases in each group. The control group adopted the conventional midwifery method, and the observation group adopted the warm midwifery service mode combined with position management during delivery. The delivery mode, different stages of labor, neonatal Apgar score, delivery pain score, postpartum hemorrhage, and maternal and neonatal complications were compared between the two groups.Results The natural delivery rate of the observation group was higher than that of the control group, and the cesarean section rate was lower than that of 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, and the difference was statistically significant (P<0.05); there was no significant difference in the third stage of labor between the two groups (P>0.05). The Apgar score of newborns in the observation group was higher than that in the control group, the delivery pain score and postpartum hemorrhage volume were lower than those in the control group, and the difference was statistically significant (P<0.05). The incidences of postpartum infection and neonatal complications in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05).Conclusion Warm midwifery service mode combined with body position management can improve the natural delivery rate of primipara, reduce cesarean section rate, shorten the first and second stages of labor, relieve labor pain, reduce postpartum hemorrhage, and reduce the incidence of postpartum and neonatal complications.

参考文献/References:

[1]邵莉.责任制助产模式应用于初产妇分娩的价值分析[J].中医临床研究,2017(32):99-100.[2]李红青,吴晓青,周晓燕.积极心理暗示联合导乐陪伴分娩对初产妇心理应激反应及分娩自我效能的影响[J].中国医药导报,2020,17(36):185-188.[3]许宇铃,曾丹丹,覃秀.助产士强化沟通模式对产妇分娩应激表现及产程的影响[J].中国妇幼保健,2017,32(6):1181-1183.[4]董蓉芳.产妇助产中温馨助产服务模式的应用效果研究[J].医学信息,2016,29(28):223.[5]张秋萍.体位管理在催产素引产过程中对产程进展及分娩结局的影响研究[J].河北医药,2018,40(8):1243-1245,1250.[6]Seyam E,Ibrahim EM,Youseff AM,et al.Laparoscopic manage- ment of adhesions developed after peritoneal nonclosure in primary ce- sarean section delivery[J].Obstet Gynecol Int,2018,11(6):1764.[7]程霖,姚菲,李文琼,等.第二产程分阶段体位管理对分娩影响的临床研究[J].西南国防医药,2016,26(2):168-170.[8]杨湘妹,邱嵘,刘茜,等.助产士主导分娩疼痛管理对分娩结局及疼痛控制满意度的影响[J].重庆医学,2017,46(10):1333-1335.[9]Song G,Wei YM,Zhu WW,et al.Cesarean section rate in single- ton primiparae and related factors in Beijing,China[J].Chin Med J (Engl),2017,130(20):2395-2401.[10]潘菊英.分阶段体位管理联合自主屏气用力对初产妇第二产程和分娩结局的影响[J].中国医药科学,2016,6(16):107-109.[11]邱洪涛,王剑鹰,刘晶.运动及自由体位在无创分娩中的应用[J].中国妇幼健康研究,2016,27(2):207-209.[12]王鑫,王秀梅,王芳,等.产程中不同体位与运动对分娩结局的影响[J].蚌埠医学院学报,2020,45(1):131-133.[13]章群,李芬.全程责任制助产士陪伴分娩的临床应用效果分析[J].中国基层医药,2015,20(18):2874-2875.[14]陈敏燕,牟兰芳,卢凤英.自由体位管理联合分娩球对初产妇妊娠结局的影响[J].中国妇幼保健,2021,36(16):3681-3684.[15]陈燕,郝刚华,蒲慧然,等.责任制助产模式结合体位管理对分娩结局的影响[J].实用医院临床杂志,2014,10(5):238-239.

相似文献/References:

[1]刘 萍,傅继红.30°斜坡式自动充气枕在鼻饲脑卒中 患者体位管理的可行性研究[J].医学信息,2018,31(17):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
　LIU Ping,FU Ji-hong.Feasibility Study on the Position Management of 30°Slope Automatic Inflatable Pillow in Patients with Nasal Feeding Stroke[J].Medical Information,2018,31(04):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
[2]何小庆.体位管理联合预见性护理对踝关节骨折患者愈合及预后的影响[J].医学信息,2024,37(16):161.[doi:10.3969/j.issn.1006-1959.2024.16.038]
　HE Xiao-qing.Effect of Body Position Management Combined with Predictive Nursing on Healingand Prognosis of Patients with Ankle Fracture[J].Medical Information,2024,37(04):161.[doi:10.3969/j.issn.1006-1959.2024.16.038]

更新日期/Last Update: 1900-01-01