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Open Access Article

Journal of Advances in Clinical Nursing. 2023; 2: (1) ; 95-98 ; DOI: 10.12208/j.jacn.20230029.

Study on the effect of doula midwifery intervention on improving pregnancy outcome
全程导乐助产护理干预对改善妊娠结局的效果研究

作者: 宋梅 *, 王迪桥, 马露

南充市中心医院 四川南充

*通讯作者: 宋梅,单位:南充市中心医院 四川南充;

发布时间: 2023-01-30 总浏览量: 241

摘要

目的 分析全程导乐助产护理干预对改善妊娠结局的效果。方法 选择的研究对象是本院收治的100例产妇,选择时间区间锁定在2020年08月至2022年08月之间,采取随机方式分成参照组与实验组,参照组为她们开展常规助产干预,实验组为她们开展全程导乐助产护理,对比两组妊娠结局。结果 ①分娩情况:实验组产妇的产程时间、产程疼痛程度、自然分娩率等指标均优于参照组(P<0.05);实验组新生儿健康状况比参照组的优(P<0.05);②产后情况:实验组产妇出现的产后出血、等产褥期感染、产后尿潴留等产后并发症发生概率低于参照组(P<0.05);实验组产妇的产后焦虑评分、抑郁评分均优于参照组(P<0.05)。结论 对产妇实施全程导乐助产护理干预,可以显著改善她们的妊娠结局,自然分娩率显著提高,产妇的产程疼痛得到显著的环境,产程时间显著缩短,产后并发症的发生概率也显著降低,产妇在产后能够保持一个良好的心态照顾新生儿,新生儿也具备较好的健康状态,值得推荐。

关键词: 全程导乐助产护理;妊娠结局;自然分娩率;产程时间;产后并发症;产后抑郁

Abstract

Objective To analyze the effect of doula midwifery nursing intervention on improving pregnancy outcome.
Methods The selected subjects were 100 cases of maternal admitted to our hospital, and the time interval was locked between August 2020 and August 2022. They were randomly divided into the reference group and the experimental group. The reference group carried out routine midwifery intervention for them, and the experimental group carried out doula midwifery nursing for them, and the pregnancy outcome of the two groups was compared.
Results ① Labor conditions: the labor time, labor pain, natural delivery rate and other indicators of the experimental group were better than those of the reference group (P < 0.05); The health status of newborns in the experimental group was better than that in the control group (P<0.05). ② Postpartum situation: the probability of postpartum complications such as postpartum hemorrhage, puerperal infection and postpartum urinary retention in the experimental group was lower than that in the reference group (P < 0.05); The postpartum anxiety and depression scores of the experimental group were better than those of the control group (P < 0.05).
Conclusion   The whole-course doula nursing intervention for parturient women can significantly improve their pregnancy outcome, significantly increase the rate of natural delivery, provide a significant environment for parturient women's labor pain, significantly shorten the labor time, and significantly reduce the probability of postpartum complications. Parturient women can maintain a good attitude to take care of their newborns after delivery, and the newborns are in good health. It is recommended.

Key words: Full doula midwifery care; Pregnancy outcome; Natural delivery rate; Labor duration; Postpartum complications; Postpartum depression

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引用本文

宋梅, 王迪桥, 马露, 全程导乐助产护理干预对改善妊娠结局的效果研究[J]. 临床护理进展, 2023; 2: (1) : 95-98.