持续助产服务对初产妇自然分娩时分娩方式、产程进展及护理满意度的影响。
The effect of continuous midwifery services on the delivery mode, labor progress, and nursing satisfaction of primiparas during natural deliveries.
作者信息
Zhang Yali, Xu Kun, Gong Li, Sun Yunjia, Ren Fenfen
机构信息
Department of Obstetrics, Maternity and Child Health Care of Zaozhuang Zaozhuang 277000, Shandong Province, China.
出版信息
Am J Transl Res. 2021 Jun 15;13(6):7249-7255. eCollection 2021.
OBJECTIVE
To analyze the effect of continuous midwifery services on the delivery mode, labor progress, and primiparas' nursing satisfaction levels during natural deliveries.
METHODS
340 primiparas admitted to our hospital from January 2017 to June 2020 were recruited as the study cohort and randomized into a continuous midwifery group and a traditional midwifery group, with 170 patients in each group. They underwent traditional midwifery nursing services and continuous midwifery services, respectively. The two groups' delivery modes, labor progress, analgesic methods, perinatal Self-Rating Anxiety Scale (SAS) scores, postpartum hemorrhage amounts, Apgar scores, and nursing satisfaction levels were compared.
RESULTS
The natural delivery rate in the continuous midwifery group was higher than it was in the traditional midwifery group (P<0.05). The maternal non-drug analgesia rate in the continuous midwifery group was higher than it was in the traditional midwifery group (P<0.05). The duration of the first stage in the continuous midwifery group was shorter than it was in the traditional midwifery group (P<0.05). The comparisons made during the second and third stages in the two groups showed no statistical differences (P>0.05). The SAS scores in the continuous midwifery group were significantly better than the SAS scores in the traditional midwifery group at the time of waiting for delivery and at one day after delivery (P<0.01). The postpartum hemorrhage amounts in the continuous midwifery group were lower than they were in the traditional midwifery group (P<0.01). The neonatal Apgar scores and maternal nursing satisfaction levels in the continuous midwifery group were better than they were in the traditional midwifery group (P<0.01).
CONCLUSION
Continuous delivery services for primiparas during natural delivery can significantly increase the natural delivery rate, reduce the use of analgesics, shorten the delivery times, alleviate the delivery-related anxiety levels in the primiparas, reduce postpartum hemorrhages, effectively improve the delivery outcomes, improve the quality of the newborns, and improve the primiparas' nursing satisfaction levels, so it is worthy of clinical promotion and application.
目的
分析持续助产服务对自然分娩产妇分娩方式、产程进展及初产妇护理满意度的影响。
方法
选取2017年1月至2020年6月我院收治的340例初产妇作为研究对象，随机分为持续助产组和传统助产组，每组170例。分别给予传统助产护理服务和持续助产服务。比较两组的分娩方式、产程进展、镇痛方法、围产期焦虑自评量表（SAS）评分、产后出血量、阿氏评分及护理满意度。
结果
持续助产组自然分娩率高于传统助产组（P<0.05）。持续助产组产妇非药物镇痛率高于传统助产组（P<0.05）。持续助产组第一产程时间短于传统助产组（P<0.05）。两组第二、三产程比较差异无统计学意义（P>0.05）。持续助产组产妇在待产时及产后1天的SAS评分明显优于传统助产组（P<0.01）。持续助产组产后出血量低于传统助产组（P<0.01）。持续助产组新生儿阿氏评分及产妇护理满意度均优于传统助产组（P<0.01）。
结论
自然分娩时对初产妇实施持续助产服务可显著提高自然分娩率，减少镇痛药物使用，缩短产程，缓解初产妇分娩相关焦虑情绪，减少产后出血，有效改善分娩结局，提高新生儿质量，提高初产妇护理满意度，值得临床推广应用。
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