全程陪产对产科质量的影响

目的观察全程陪产对母儿结局的影响。方法无产科合并症和并发症的适龄足月初产妇200例随机分为2组,对照组采用常规的产程观察、处理和传统排班制,陪产组实施全程陪产和弹性工作制;观察2组产妇产程、产后出血、剖宫产率及产妇满意度,并进行比较。结果陪产组第1产程、第2产程和总产程均明显短于对照组(P<0.01,P<0.05),但2组第3产程比较无显著差异(P>0.05);陪产组剖宫产率和产后2h出血量均明显低于对照组(P<0.05);陪产组新生儿1minApgar评分和产妇满意度均明显高于对照组(P<0.05)。结论全程陪产可缩短产程,减少产后出血,降低剖宫产率和新生儿窒息率,提高产科质量。

Influence of accompanied delivery during the whole labor on obstertrical quality

Objective To observe the influence of accompanied delivery during the whole labor on the puerpera and infant.Methods Two hundreds full term primiparaes without complications were divided into two groups randomly.Conventional treatments wre carried out in control group,and accompanied delivery during the whole labor were carried out in accompany group.The labor,postpartum hemorrhage,rate of uterine-incision delivery and satisfactory degree of puerpera were observed in two groups.Results The first stage and second stage were shorter obviously in accompany group than these in control group(P<0.01,P<0.05),but there was no significant difference in the third stage between two groups(P>0.05).The rate of uterine-incision delivery and postpartum hemorrhage were lower obviously in accompany group than these in control group(P<0.05).The Apgar score and satisfactory degree of puerpera were higher in accompany group than these in control group(P<0.05).Conclusion Accompanied delivery during the whole labor can shorten birth process,reduce postpartum hemorrhage,degrade the rate of uterine-incision delivery and apnoea neonatorum,and increase the obstertrical quality.