摘要
目的观察分析联合应用人文关怀和自由体位分娩对促进自然分娩的效果。方法选取该院在2018年4月—2019年4月收治的104例足月产妇,按照数字随机表法分为实验组(应用人文关怀和自由体位分娩方法)和对照组(未应用人文关怀和自由体位分娩方法),每组均为52例。采用统计学分析两组足月产妇的平均第一产程时间、平均第二产程时间、平均分娩过程中的出血量、分娩方式(顺产、剖腹产以及阴道助产等)、新生儿窒息发生率、母乳成功喂养率。结果实验组平均第一产程时间、平均第二产程时间、平均分娩过程中的出血量分别为(365.2±14.9)min、(40.6±2.2)min、(158.3±10.6)m L,对照组分别为(715.6±22.2)min、(86.1±3.3)min、(210.5±10.1)mL,实验组平均第一产程时间、平均第二产程时间明显短于对照组(t=94.510、10.354,P<0.05),实验组平均分娩过程中的出血量明显少于对照组(t=18.659,P<0.05);实验组顺产发生率、剖宫产以及阴道助产发生率分别为86.5%、5.8%、7.7%,对照组分别为61.5%、19.2%、19.2%,实验组顺产发生率明显高于对照组(χ^2=3.955,P<0.05),实验组剖宫产以及阴道助产发生率明显低于对照组(χ^2=10.455、18.563,P<0.05);实验组新生儿窒息发生率为1.9%(1/52),对照组新生儿窒息发生率为19.2%(10/52),实验组新生儿窒息发生率明显低于对照组(χ^2=5.336,P<0.05);实验组母乳成功喂养率为98.1%(51/52),对照组母乳成功喂养率为82.7%(43/52),实验组母乳成功喂养率明显高于对照组(χ^2=10.218,P<0.05)。结论联合应用人文关怀和自由体位分娩对促进自然分娩的效果显著。
Objective To observe and analyze the effect of the combined application of humanistic care and free-position delivery on promoting natural delivery. Methods A total of 104 full-term women admitted to the hospital from April 2018 to April 2019 were selected and divided into experimental group(application of humanistic care and freeposition delivery method) and control group(not applied humanistic care and free-position delivery method) according to the number random table method, each group has 52 cases. Statistical analysis was used to analyze the average time to the first stage of labor, the average time to the second stage of labor, the average amount of bleeding during the delivery process, the method of delivery(cistern birth, caesarean section, vaginal delivery, etc.), incidence of neonatal asphyxia, breast milk Successful feeding rate. Results The average time of the first stage of labor, the average time of the second stage of labor, and the average blood loss during delivery in the experimental group were(365.2±14.9) min,(40.6±2.2) min, and(158.3±10.6)mL, respectively,(715.6±22.2) min,(86.1±3.3) min,(210.5±10.1)mL, the average time of the first labor and the second labor of the experimental group were significantly shorter than those of the control group(t =94.510,10.354,P <0.05), The average amount of bleeding during delivery in the experimental group was significantly less than that in the control group(t=18.659, P<0.05);the incidence of normal delivery, caesarean section and vaginal delivery in the experimental group were 86.5%, 5.8%, and 7.7%, respectively. They were 61.5%, 19.2%,and 19.2%. The incidence of normal delivery in the experimental group was significantly higher than that in the control group(χ^2=3.9554, P <0.05). The incidence of caesarean section and vaginal delivery in the experimental group was significantly lower than that of the control group(χ^2=10.455, 18.563, P<0.05);the incidence of neonatal asphyxia in the experimental group was 1.9%(1/52), the incidence of neonatal asphyxia in the control group was 19.2%(10/52), and the incidence of neonatal asphyxia in the experimental group was significantly lower than that of the control Group(χ^2=5.336,P <0.05);the successful breastfeeding rate of the experimental group was 98.1%(51/52), the successful breastfeeding rate of the control group was 82.7%(43/52), the successful breastfeeding rate of the experimental group was significantly higher than that of the control group(χ^2=10.218, P<0.05). Conclusion The combined application of humanistic care and free-position delivery has a significant effect on promoting natural delivery.
作者
孟繁霞
MENG Fan-xia(Department of Obstetrics,the First People's Hospital of Pingyuan County,Pingyuan,Shandong Province,253100 China)
出处
《系统医学》
2020年第17期16-18,共3页
Systems Medicine
关键词
人文关怀
自由体位分娩
联合应用
促进自然分娩
效果
Humanistic care
Free posture delivery
Combined application
Promotion of natural delivery
Effect
作者简介
孟繁霞(1977-),女,本科,主管护师,研究方向:助产。
