无痛分娩联合助产士分娩陪护对产妇分娩方式、产程时间和产后抑郁影响

doi:10.3969/j.issn.1674-490X.2019.02.011

医学研究与教育 ›› 2019, Vol. 36 ›› Issue (2): 62-66.DOI: 10.3969/j.issn.1674-490X.2019.02.011

无痛分娩联合助产士分娩陪护对产妇分娩方式、产程时间和产后抑郁影响

来庆平

信阳市中心医院妇产科, 河南信阳 464000

收稿日期:2018-11-06 出版日期:2019-04-25 发布日期:2019-04-25
作者简介:来庆平(1969—),女,河南信阳人,副主任护师,主要从事产科护理。 E-mail: kqs604804@163.com

Received:2018-11-06 Online:2019-04-25 Published:2019-04-25

摘要/Abstract

摘要： 目的探讨无痛分娩联合助产士分娩陪护对产妇分娩方式、产程时间及产后抑郁的影响。方法回顾性收集2017年1月至2017年6月住院分娩的产妇165例,根据干预方式不同分为助产士组(助产士分娩陪护,78例)和联合组(无痛分娩联合助产士分娩陪护,87例)。Muleteer镇痛程度评分法评估产妇分娩中疼痛情况,观察记录各组分娩方式、总产程时间及母婴结局,产后7 d、28 d行爱丁堡产后抑郁量表(EPDS)调查。结果联合组Muleteer镇痛程度评分、总产程时间均明显少于助产士组(P<0.05);联合组阴道顺产率83.91%,明显高于助产士组的60.26%(P<0.05);联合组产后7 d、28 d EPDS评分均明显低于助产士组(P<0.05);各组产后出血、产后尿潴留、新生儿窒息、胎儿窘迫发生率比较差异无统计学意义(P>0.05)。结论无痛分娩联合助产士分娩陪护能明显减轻产妇疼痛,降低剖宫产率,缩短总产程时间,改善产妇产后抑郁状况。

关键词: 无痛分娩, 助产士, 分娩方式, 产程, 产后抑郁

Abstract: Objective To investigate the effects of painless childbirth combined with midwife delivery escort services on the delivery mode, labor duration and postpartum depression of parturients. Methods 165 parturients of hospital delivery in the hospital from January 2017 to June 2017 were retrospectively collected. They were divided into midwifery group(midwife delivery escort, 78 cases)and combination group(painless childbirth combined with midwife delivery escort, 87 cases)according to different intervention methods. Muleteer analgesia score was used to evaluate the pain of parturients during delivery. The delivery mode, total labor duration and maternal and neonatal outcomes were recorded. The edinburgh postnatal depression scale(EPDS)was used in the investigation at 7 days and 28 days after delivery. Results The Muleteer analgesia score and total labor duration of the combination group were significantly less than those of midwifery group(P<0.05). The vaginal delivery rate of the combination group(83.91%)was significantly higher than that of midwifery group(60.26)(P<0.05). The EPDS scores of the combination group at 7 days and 28 days after delivery were significantly lower than those of midwife group(P<0.05). There was no significant difference in the incidence of postpartum hemorrhage, postpartum urinary retention, neonatal asphyxia or fetal distress among all groups(P>0.05). Conclusion Painless childbirth combined with midwife delivery escort services can significantly reduce the pain of parturients, decrease the cesarean section rate, shorten the total labor duration, and improve maternal postpartum depression.

Key words: painless childbirth, midwife, delivery mode, labor, postpartum depression

中图分类号:

来庆平. 无痛分娩联合助产士分娩陪护对产妇分娩方式、产程时间和产后抑郁影响[J]. 医学研究与教育, 2019, 36(2): 62-66.

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无痛分娩联合助产士分娩陪护对产妇分娩方式、产程时间和产后抑郁影响

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