呼吸减痛法配合一对一陪伴分娩临床研究

目的探讨呼吸减痛法配合一对一陪伴分娩的临床效果。方法选取在孕期接受呼吸减痛法培训的初产妇50例做为观察组,选取未接受呼吸减痛法培训的初产妇50例作为对照组,临产时观察组由一名专职助产士有针对性地进行呼吸减痛法的指导,对照组不做呼吸减痛法的指导,仅采用传统的方法进行待产。两组孕妇均按常规一对一陪伴分娩,按正常方法观察产程,收集相关资料后进行统计学分析。结果观察组中出现Ⅰ级与Ⅱ级分娩疼痛的产妇较对照组增加,而Ⅲ级分娩疼痛者明显少于对照组;第一产程、第二产程和总产程时间明显短于对照组,产后出血率、新生儿窒息率明显少于对照组,差异均有统计学意义(P<0.05)。结论呼吸减痛分娩法是一种安全、有效的减痛分娩方法,可以缩短总产程,减少产后出血及新生儿窒息的发生。

Clinical Study of Breathing Pain-Relieve Method with One to One Accompany Delivery

Objective To investigate the effect of breathing pain-relieve method with one to one accompany delivery in childbirth process. Methods 50 cases of primipara with breathing pain-relieve method training were selected as the observation group, and 50 cases of primipara without training were selected as the control group. The observation group received targeted guidance of breathing pain-relieve method by nurse-midwife during delivery process, while the control group received routine method alone during delivery process. Both groups received routine one to one accompany delivery. The related date were collected for statistical analysis. Results The number of cases of classⅠandIIlabor pain of observation group was more than that of control group, but the number of cases of classⅢlabor pain was less than that of control group;The times of first stage, second stage of labor and total labor of observation group were less than those of control group;The incidences of postpartum hemorrhage and neonatal asphyxia of observation group were lower than those of control group;All the differences were statistically significant （P〈0.05）. Conclusions Breathing pain-relieve method during delivery process is safe and effective. It can shorten the overall production process, and reduce the incidence of postpartum hemorrhage and newborn asphyxia.