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一对一全程陪伴分娩488例临床分析
引用本文:张淑霞,钱敏华. 一对一全程陪伴分娩488例临床分析[J]. 中国妇幼健康研究, 2007, 18(5): 448-449
作者姓名:张淑霞  钱敏华
作者单位:河南科技大学第三附属医院洛阳东方医院妇产科,河南,洛阳,471003;河南科技大学第三附属医院洛阳东方医院妇产科,河南,洛阳,471003
摘    要:
目的 探讨一对一全程陪伴分娩在产程中的作用.方法 比较488例一对一全程陪伴分娩产妇(观察组)和405例非陪伴分娩产妇(对照组)的分娩方式、产程时间、产后出血、新生儿窒息的发生率及患者满意度.结果 观察组剖宫产率(12.7%)、产后出血率(0.41%)、新生儿窒息率(1.6%)低于对照组,阴道分娩率(87.3%)、患者满意度(98.9%)均高于对照组,相比较有显著性差异(P<0.05);观察组第一产程、第二产程和总产程时间明显低于对照组(P<0.05),差异显著.两组第三产程差异无显著性.结论 一对一全程陪伴分娩能显著降低剖宫产率、缩短产程、减少产后出血、降低新生儿窒息率、提高患者满意度,值得在产科领域全面推广.

关 键 词:一对一全程陪伴分娩  新生儿窒息  病人满意度  产程
文章编号:1673-5293(2007)05-0448-02
修稿时间:2007-08-18

A clinical analysis of 488 cases of "one to one" whole process companion delivery
ZHANG Shu-xia,QIAN Min-hua. A clinical analysis of 488 cases of "one to one" whole process companion delivery[J]. Chinese Journal of Maternal and Child Health Research, 2007, 18(5): 448-449
Authors:ZHANG Shu-xia  QIAN Min-hua
Abstract:
Objective To assess effect of "one to one" whole process companion delivery.Methods Delivery patterns,duration of stage of labor,amount of postpartum hemorrhage,incidence of neonatal asphyxia,satisfactory degree of the patient of 488 parturients with "one to one" whole process companion in the observation group and 405 parturients without "one to one" whole process companion in the control group were compared and analyzed statistically.Results The cesarean section rate was 12.7% in the observation group and 19.3% in the control group,and postpartum hemorrhage incidence was 0.41% vs 1.97%,and neonatal asphyxia rate was 1.63% vs 7.9%,and satisfaction rate of the patients was 98.9% vs 88.6% respectively and there were significant differences between the observational group and the control group(all P<0.05).The durations of the first and the second stages of labor and total course of labor in the observation group were shorter than those in the control group and there were significant differences(P<0.05) Conclusion "one to one" whole process companion delivery can reduce cesarean section rate and incidence rate of neonatal asphyxia,shorten labor course,lessen postpartum hemorrhage and improve satisfaction degree of the patient,so it is worthy to be popularized in the field of obstetrics all-around.
Keywords:"  one to one"   whole process companion delivery,neonatal asphyxia,satisfaction degree of patient,course of labor
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