助产士主导伙伴式导乐陪伴分娩193例临床观察

目的：探讨助产士主导伙伴式导乐陪伴分娩的临床效果。方法：选取2010年8月-2012年8月在本院分娩的386例产妇，按照随机数字表法将其分为观察组和对照组各193例。对照组产妇给予常规护理措施，观察组产妇在常规护理基础上加以伙伴式导乐陪伴分娩，比较两组产妇分娩方式、产后出血率、新生儿窒息率及总产程时间。结果：观察组自然分娩率为84.5%，对照组自然分娩率为65.3%；观察组自然分娩率显著高于对照组（P〈0.05）；观察组产妇产后出血率、新生儿窒息率及总产程时间均显著低于对照组（P〈0.05）。结论：在产妇分娩时应用助产士主导伙伴式导乐分娩，可有效提高自然分娩率，缩短产程，降低产后出血率和新生儿窒息率，值得在临床上应用和推广。

Clinical Observation of 193 Cases of Midwife-Led Partnership-Based Doula Childbirth

Objective：To investigate the clinical results of midwife-led partnership-based doula childbirth.Method：Three hundred and eighty-six cases of maternal childbirth from August 2010 to August 2012 in the hospital were randomly divided into the observation group and the control group, each group of 193 cases. The control group received routine maternity care measures,the observation group on the basis of routine nursing mothers were given partnership-Doula,compared two groups of maternal mode of delivery,postpartum hemorrhage,neonatal asphyxia rate and the total process time.Result：The natural childbirth of the study group was 90.7%while the control group was 65.1%,and the difference between the two groups were statistically significant（P〈0.05）. The observation group of postpartum hemorrhage,neonatal asphyxia rate and total production process time were significantly lower than the control group,and all the difference between the two groups were statistically significant（P〈0.05）.Conclusion：Applied midwife-led maternity partnership type Doula,can effectively improve the natural birth rate,shorten the production process,reduce the rate of postpartum hemorrhage and neonatal asphyxia,worthy of clinical application and promotion.