导乐分娩对初产妇疼痛及产程影响观察.docVIP

精品论文 参考文献 导乐分娩对初产妇疼痛及产程影响观察 （成都锦江区妇幼保健院 四川 成都 610000） 　　【摘要】 目的：探讨导乐分娩对初产妇产程以及疼痛程度的影响。方法：按照92例初产妇入院顺序的奇偶性将其分实验组（n=46）和对照组（n=46），分别予以导乐分娩及常规分娩护理；比较两组产程、疼痛程度及分娩方式。结果：实验组总产程显著短于对照组（Plt;0.05）。实验组产程疼痛评分显著低于对照组（Plt;0.05）。实验组阴道分娩率为80.43%，显著高于对照组60.87%（Plt;0.05）。结论：导乐分娩对加快初产妇产程进展，缓解初产妇产程疼痛，提高自然分娩率具有重要意义。 　　【关键词】 初产妇；导乐分娩；产程；疼痛 　　【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2016）25-0225-02 　　Analysis of the effect of Doula in pain and labor on primipara Lin Fengqiong,Chengdu Jinjiang District MCH,610000 　　【Abstract】Objective To explore the effect of Doula in pain and labor on primipara. Methods 92 cases of primipara were randomly divided into the experimental group (n = 46) and the control group (n = 46),according to the order of admission parity. The experimental group used Doula. The control group used regular delivery nursing.the labor,pain and delivery way of two groups were compared. Results The total stage of labor of the experimental group was significantly shorter than the control group(Plt;0.05).The labor pain score of the experimental group was significantly lower than control group (P lt; 0.05).The rate of natural delivery of the experimental group was 80.43%,which was significantly higher than the control group 60.87% (Plt;0.05).Conclusion Doula has lots of advantages, such as speed up the progress in labor, relieve labor pain and improve natural births. 　　【Key words】Primipara; Doula; Stages of labor; Pain 　　 对于初产妇来说，分娩无疑是一种强烈的心理及生理应激，极易引起紧张、抑郁、焦虑等不良情绪，这些不良情绪可加速产妇体力消耗、增强产妇疼痛程度、延长产程、增加母婴并发症发生率。为满足初产妇分娩期需求，本文选择我院92例初产妇行分组研究，实验组接受导乐分娩，收效较佳，报道如下。 　　1.资料与方法 　　1.1 一般资料 　　按照2015年6月～2016年3月将我院92例初产妇入院顺序的奇偶性将其分实验组（n=46）和对照组（n=46）。入选标准：初产妇；单胎、头位、足月妊娠；认知正常，拟进行阴道试产。排除标准：头盆不称；合并妊高症、妊娠糖尿病等妊娠相关并发症；合并精神异常者；合并肝、肾、心等严重疾病者。实验组，年龄20～40岁，平均（25.73plusmn;4.24）岁；孕37～41周，平均（39.16plusmn;0.84）周。对照组，年龄21～39岁，平均（25.47plusmn;4.39）岁；孕37～41周，平均（39.01plusmn;0.92）周。组间孕周、年龄等基线资料差异无统计学意义（P＞0.05），具备可比性。 　　1.2 方法 　　对照组接受普通分娩护理，待初产妇胎膜早破或者宫缩规律后，将其送入产房，由助产士提供产程观