助产士咨询门诊应用效果分析.docVIP

精品论文 参考文献 助产士咨询门诊应用效果分析 罗庆平 罗蓉戎 郑玲(四川省泸州市人民医院 646000) 　　【摘要】目的 探讨助产士咨询门诊对初产妇分娩过程的配合度、分娩方式、母乳喂养情况的影响。方法 选择在本院妇产科建卡并定期产捡的正常初产妇，随机分为研究组(80例)和对照组(80例)。对照组进行常规产前门诊,研究组除接受常规产前门诊外，还参加助产士咨询门诊，接受妊娠、分娩、产后各期健康知识宣教及心理准备指导。比较两组分娩过程的配合度、分娩方式、母乳喂养情况等。结果 研究组分娩过程配合度高于对照组，自然分娩率高于对照组，社会因素剖宫产率低于对照组，纯母乳喂养率高于对照组，差异均有统计学意义(Plt;O.05)；结论 助产士咨询门诊可以提高产妇分娩过程配合度，提高自然分娩率，降低社会因素剖宫产率，提高纯母乳喂养率。 　　【关键词】助产士 咨询门诊 分娩方式 母乳喂养 　　【中图分类号】R192.7 【文献标识码】A 【文章编号】1672-5085（2014）15-0032-02 　　Analysis of midwife counseling clinic application effect(Luo Qingping Luo Rongrong Zheng Ling)（ luzhou, sichuan province peoples hospital 646000） 　　【Abstract】 purpose To discuss the impact of midwife counseling clinic on maternityrsquo;s birth process corporation, mode of delivery, breastfeeding. Method Choose normal maternities who create file in our hospital and do regular check-up, divide them into research group (80 cases) and comparison group (80 cases) . Comparison group takes normal prenatal check-up. Research group takes normal prenatal check-up, participates midwife counseling clinic, and get guide of health and psychological preparation during gestation, delivery and postnatal. Compare their birth process corporation, mode of delivery, breastfeeding. Result Compared with comparison group, research grouprsquo;s birth process corporation is better, natural birth rate is higher, cesarean section rate is lower and exclusive breastfeeding rate is higher. And all the differences are statistical significant (Plt;0.05).Conclusion Midwife counseling clinic can help rise birth process corporation, rise natural birth rate, reduce cesarean section rate and rise exclusive breastfeeding rate. 　　【Key words】 midwife counseling clinic mode of delivery breastfeeding 　　近年来，国际国内提倡减少分娩过程中人工干预，应用非药物方法镇痛促进自然分娩，降低剖宫产率，WHO提倡纯母乳喂养6个月，我院尝试通过开设助产士咨询门诊对产妇在分娩前进行个体化健康教育，以减轻产妇对分娩的紧张恐惧，正确认识对待分娩疼痛及过程，提前学习呼吸减痛法及母乳喂养知识等，以期达到促进自然分娩，降低剖宫产率，促进母乳喂养，促进母婴健康的目的，现取得了较好的