导乐陪伴分娩在产时保健中的作用

目的探讨导乐陪伴分娩对提高产时保健质量的作用。方法188例产妇（观察组）采用导乐陪伴式分娩与同期239（对照组）无导乐陪伴分娩的产妇比较。结果观察组产妇剖宫产率10．1％，产后出血量（205±6．88）ml，对照组剖宫产率19．25％，产后出血量（236．84±10．04）ml。两组比较差异有非常显著性意义（P〈0．01），而产程时间，催产素使用率，阴道助产率和新生儿窒息率两组比较差异无显著性意义（P〉0．05）。结论导乐陪伴分娩，降低了剖宫产率和产后出血量。阴道助产率，催产素使用率以及新生儿窒息率不增加。导乐陪伴分娩在产时保健中起着重要作用。

The role dola-delivery plays in childbirth health care

Aim To explore the role dola-delivery plays in enhancing health care of women in labour. Methods 188 cases of women in labour （observed group ） with dola-delivery are compared with the simultaneous 239 cases of women in labour without （contrasted group）. Results Caesarean birth rate of lying-in women under observation is 10.1% , with amount of postdelivery bleeding 205 ± 6.88 ml. Caesarean birth rate of the contrasted group is 19.25% , the bleeding amount after birth being （236.84 ± 10.04） ml. Marked significance occurs with the two groups compared（ P 〈0.01 ） while no marked significance arises when two groups compared in terms of birth aluration, oxytocin using rate, vaginal delivery rate, and stifling rate of new-born babies （ P 〉 0.05 ）. Conclusion By dola-delivery, caesarean birth rate and postdelivery bleeding amount are lowered with no increase in rates of vaginal delivery, oxytocin employment, and new-born baby suffocation. Dola-delivery therefore plays an important role in childbirth health care.