产前认知辅导对初产妇分娩方式及产程时间的影响.docVIP

产前认知辅导对初产妇分娩方式及产程时间的影响 　　[摘要] 目的 探讨产前认知辅导对初产妇分娩方式及产程时间的影响。 方法 选取2016年1～12月间我院妇产科收治的初产妇80例，依??随机数字表法分为产前常规检查组（n=40）和产前认知辅导组（n=40）。对两组初产妇的分娩方式、配合分娩情况及自然分娩初产妇的各阶段产程时间进行统计分析。 结果 产前认知辅导组初产妇的自然分娩率为75.0%（30/40）显著高于产前常规检查组52.5%（21/40）（P 　　[关键词] 产前认知辅导；初产妇；分娩方式；产程时间 　　[中图分类号] R714.3 [文献标识码] B [文章编号] 1673-9701（2017）18-0058-04 　　Effect of prenatal cognitive guidance on delivery mode and labor time in primipara 　　LIN Mingyan FU Minggui YANG Susu ZHANG Jinxia 　　Department of Gynecology and Obstetrics， Wenzhou Kangning Hospital in Zhejiang Province， Wenzhou 325000， China 　　[Abstract] Objective To explore the effect of prenatal cognitive guidance on the mode of delivery and the time of labor in primipara. Methods 80 cases of primipara who were admitted to the department of gynecology and obstetrics in our hospital from January to December 2016 were selected. The primipara were divided into two groups of regular examination group （n=40） and prenatal cognitive guidance group（n=40） according to the random number table method. The delivery mode， the delivery cooperation and the labor time of all stages of natural delivery in primipara were statistically analyzed in both groups. Results The natural delivery rate was 75.0% （30/40） in the primipara in the prenatal cognitive guidance group， which was significantly higher than that of 52.5%（21/40） in the prenatal regular examination group （P 　　[Key words] Prenatal cognitive guidance； Primipara； Mode of delivery； Labor time 　　?榱颂嵘?初产妇的阴道分娩率，缩短其产程时间，从而切实有效地改善母婴预后，本研究比较了产前常规检查与产前常规检查联合产前认知辅导对初产妇的效果，发现后者较前者对初产妇的分娩方式及产程时间均具有更积极的影响，现报道如下。 　　1资料与方法 　　1.1 一般资料 　　选取我院妇产科2016年1～12月收治的初产妇80例，纳入标准：所有初产妇均知情同意并签署知情同意书；排除标准：有剖宫产适应证、施行无痛分娩等初产妇[3]。依据随机数字表法将这些初产妇分为产前常规检查组（n=40）和产前认知辅导组（n=40）。产前常规检查组初产妇年龄22～34岁，平均（25.9±2.6）岁；体重51.3～73.8 kg，平均（56.6±4.7）kg；孕周36～41周，平均（38.0±1.2）周。在受教育程度方面：小学及以下3例，中学及中专28例，大专及以上9例。产前认知辅导组初产妇年龄23～34岁，平均（26.3±2.5）岁；体重52.2～73.5 kg，平均（57.4±4.4）kg；孕周37～41周，平均（38.6±1.3）周。在受教育程度方面：小学及以下4例，中学及中专26例，大专及以上10例。两组初产妇的一般资料比较，差异无统