导乐陪伴分娩对产科质量的影响

目的探讨导乐陪伴分娩对产妇产程、分娩结局、产后出血及新生儿窒息、母乳喂养的影响。方法选导乐陪伴分娩产妇150例为试验组，同期非导乐陪伴分娩的产妇150例为对照组，比较两组产妇产程时间、分娩方式、产后出血、产妇泌乳始动时间、对助产士的满意度、新生儿窒息等情况。结果导乐陪伴分娩能够缩短产程，提高阴道分娩率，降低剖宫产率，减少产后出血，产妇泌乳始动时间提前；对助产士满意度提高，新生儿窒息情况两组无明显差异。结论导乐陪伴分娩是坚持以人为本的护理模式，提高了产科的质量，在确保母婴安全方面效果明显，值得进一步全面推广。

Impact of doula service on obstetric quality

Objective To explore the impact of doula service on labor stages, labor outcomes, postpartum hemorrhage, newborn asphyxia, and breast feeding. Methods 150 puerperae received doula service (study group), and 150 puerperae received no doula (control). Labor duration, delivery patterns, initial time of lactation, satisfaction with midwi ves, and incidences of postpartum hemorrhage and neonatal asphyxia were compared between the two groups. Results Doula service shortened labor stages, increased rate of vaginal delivery, reduced rate of cesarean section, decreased postpartum hemorrhage, had initial time of lactation start early. There were no significant differences in satisfaction with midwives and the incidence of neonatal asphyxia between the two groups. Conclusions Doula service is a puerpera-centered care pattern, which improves the obstetric quality. It is very effective in ensuring maternal and children safety thus worth popularizing.