摘要
目的分析初产妇实施导乐陪伴分娩联合全程镇痛管理的效果及对其妊娠结局、疼痛情况及泌乳功能的影响。方法:选择衡水市妇幼保健院2022年1月至2022年7月140例产妇为研究对象。采用随机数字表分为对照组和观察组,每组70例产妇,对照组产妇仅实施导乐陪伴分娩,观察组产妇实施导乐陪伴分娩联合全程镇痛管理,以产程情况、妊娠结局、各产程疼痛情况、分娩自我效能感和泌乳功能为观察指标,分析和对比两种方案的效果。结果观察组第一产程、第二产程、第三产程和总产程均短于对照组(P<0.05),不良妊娠结局总发生率和各产程疼痛评分低于对照组(P<0.05)。2组产妇护理后自我效能感各项评分较护理前高(P<0.05);观察组自我效能感各项评分高于对照组(P<0.05)。2组产妇泌乳功能比较,差异有统计学意义(P<0.05)。结论初产妇实施导乐陪伴分娩联合全程镇痛管理,可以缓解产妇的疼痛、缩短产程、提高分娩自我效能感和泌乳功能,使不良妊娠结局减少,值得在临床上推广和应用。
Objective:To analyze the effects of doula accompanied delivery combined with full analgesic management on pregnancy outcome,pain and lactation function of primipara.Methods:140 cases of pregnant women in Hengshui Maternal and Child Health Hospital from January 2022 to July 2022 were selected as the study objects.A random number table was used to divide the two groups into control group and observation group,with 70 parturients in each group.Women in the control group were only given doula accompanied delivery,while women in the observation group were given doula accompanied delivery combined with analgesic management throughout the whole process.The effects of the two schemes were analyzed and compared with the conditions of labor,pregnancy outcome,pain in each stage of labor,self-efficacy in childbirth and lactation function as observation indicators.Results:The first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the observation group were shorter than those in the control group(P<0.05),the total incidence of adverse pregnancy outcomes and pain scores of each stage of labor were lower than those in the control group(P<0.05).The scores of self-efficacy after nursing were higher in 2 groups than before nursing(P<0.05);The scores of self-efficacy in observation group were higher than those in control group(P<0.05).There was significant difference in lactation function between the two groups(P<0.05).Conclusion:Doula accompanied delivery combined with analgesic management can relieve the pain of parturient women,shorten the labor process,improve the self-efficacy of childbirth and lactation function,and reduce the adverse pregnancy outcome,which is worthy of clinical promotion and application.
作者
张红
刘敏
杨文丽
ZHANG Hong;LIU Min;YANG Wenli(Operating Room of Hengshui Maternal and Child Health Hospital,Hengshui City,Hebei Province,053000)
出处
《生命科学仪器》
2023年第4期145-148,共4页
Life Science Instruments
基金
河北省医学研究课题编号:20221504
关键词
初产妇
导乐陪伴分娩
全程镇痛管理
产程
妊娠结局
疼痛
分娩自我效能感
泌乳功能
primipara
Doula accompanies childbirth
Full analgesic management
Stages of labor
Pregnancy outcome
Pain
Childbirth self-efficacy
Lactation function
