上海市导乐陪伴分娩服务现况

目的:了解上海市导乐陪伴分娩现状,寻找可借鉴的经验,规范导乐服务。方法:采取访谈与问卷相结合的方法,对开展导乐陪伴分娩服务医院的管理人员和导乐人员进行深入访谈。结果:①2009年全市有24家医院开展导乐陪伴分娩服务,产妇总体导乐陪伴率为26.75%,其中8家医院所有的产妇均能享受导乐陪伴分娩服务,而另外7家医院(主要为综合医院)导乐陪伴分娩的比例低于20%。②2010年上海市有30家医院开展导乐陪伴分娩服务,共有383名导乐人员,其中专业医护人员352人,占91.9%;有生育经验妇女31人,占8.1%。③现有27家医院开展"一对一"导乐陪伴分娩服务,各家医院服务模式与内容、导乐人员配置与管理、硬件设施等方面存在差异。结论:导乐陪伴分娩为产妇提供了人性化的产时服务模式,其规范性有待提高。

Current situation of doula delivery service in Shanghai city

Objective:To understand the current situation of doula delivery service in Shanghai city,seek experiences for reference,normalize doula service.Methods:Interview combined with questionnaire was used to survey the administrative staff and doulas deeply from the hospitals conducting doula delivery service.Results:In 2009,24 hospitals carried out doula delivery service in Shanghai city,the rate was 26.75%.All the lying-in women in eight hospitals adopted doula delivery,while in the other seven hospitals,the proportion of the lying-in women adopting doula delivery was less than 20%.In 2010,30 hospitals carried out doula delivery service in Shanghai city,383 doulas were engaged in doula delivery service,including 352 professional medical workers(91.9%) and 31 women having birth experience(8.1%).Twenty-seven hospitals carried out one-to-one doula delivery service.There was significant difference in the service mode,human resource allocation and management,and facilities among different hospitals.Conclusion:Doula delivery provides a humanism intrapartum service model for the lying-in women,and its normalization needs to be raised.