不同陪伴分娩方案对无痛分娩产妇产程及产后的影响

目的 探究不同陪伴分娩方案对行无痛分娩产妇产程及产后的影响。方法 选取2020年7月至2021年12月于舟山市妇女儿童医院行无痛分娩的产妇60例,分为观察组和对照组,每组各30例。观察组产妇给予全程导乐陪伴分娩,对照组产妇给予家属陪伴分娩。比较两组产妇的产程时间、妊娠结局、产时出血量、产妇心理状态、分娩后睡眠质量、生理应激反应、生活能力。结果 两组新生儿的Apgar评分比较差异无统计学意义（P>0.05）;两组产妇的产时出血量与产程时间比较差异均无统计学意义（P>0.05）;干预后,观察组产妇的Brathel指数显著高于对照组（P<0.05）,舒张压、收缩压、心率、匹兹堡睡眠质量指数、抑郁自评量表和焦虑自评量表评分均显著低于对照组（P<0.05）。结论 全程导乐陪伴分娩方案能够提高产妇分娩后的生活质量和睡眠质量,改善焦虑、紧张等不良心理状态,减轻生理应激反应,适合临床推广应用。

Effects of different accompanied delivery schemes on labor process and postpartum of painless delivery women

Objective To explore the influence of different accompanying delivery schemes on the labor process and postpartum of painless delivery women. Methods Sixty parturients who underwent painless labor in Zhoushan Women and Children Hospital from July 2020 to December 2021 were selected and divided into observation group and control group, with 30 cases in each group. Women in observation group were given doula to accompany the delivery, and women in control group were given family members to accompany the delivery. The labor time, pregnancy outcome, intrapartum blood loss, maternal mental state, sleep quality after delivery, physiological stress response and living ability of the two groups were compared. Results There was no significant difference in Apgar scores between the two groups (P>0.05). There was no significant difference between the two groups in the amount of intrapartum blood loss and labor time (P>0.05). After intervention, the Brathel index in observation group was significantly higher than that in control group, while diastolic blood pressure, systolic blood pressure, heart rate, Pittsburgh sleep quality index, self-rating depression scale and self-rating anxiety scale were significantly lower than those in control group (P<0.05). Conclusion The whole doula accompanied delivery program can improve the quality of life and sleep quality after delivery, improve anxiety, tension and other adverse psychological states, reduce physiological stress response, suitable for clinical application.