医疗服务对分娩方式的影响

目的探讨导乐分娩、无痛分娩和水中分娩等医疗服务对产妇分娩方式的影响。方法随机抽取单胎初产妇300例，收集其住院资料及分娩情况，并采用焦虑自评量表对其进行产前的心理状况评估，分析影响分娩方式的重要因素。结果导乐分娩、无痛分娩明显降低产妇剖宫产率。产妇年龄、导乐分娩、无痛分娩是影响产妇分娩方式的主要因素。结论提高产妇健康意识、改善产妇心理健康状况、减轻分娩疼痛等医疗服务可降低产妇剖宫产率，有效的社会、心理及医疗干预有利于保证母婴安全。

INFLUENCE OF MEDICAL SERVICE ON DELIVERY MODES

Objective To explore the role of medical services （ Doula delivery, painless labor and water birth） in delivery modes. Methods A cross-sectional study for a total of 300 primipara with delivery,who were hospitalized in the Fourth Hospital of Shijiazhuang, Self-rating Anxiety Scale was administered to these pregnant women before parturition. Logistic regression analysis was used to analyze the related factors. Results Doula delivery, painless labor and water birth significantly reduced the rate of cesarean delivery. Logistic regression analysis showed that age, Doula delivery and painless labor were the main factors influencing delivery mode. Conclusion Better health education for enhancing health knowledge and health awareness of pregnant women, better mental status of pregnant women and releasing pain of delivery related to the pregnancy outcome, and they can bring benefit to the health Of mothers and infants.