Study on the effect of midwife's participation in delivery decision making on natural birth rate
助产士参与分娩决策对自然分娩率的影响研究

摘要

目的 探究助产士参与分娩决策对自然分娩率的影响，为优化产科护理模式、提高自然分娩率提供科学依据。方法 在2024年1月至2025年1月期间，于我院产科，严格按照纳入与排除标准，选取80例产妇作为研究对象，随机分为对照组和实验组，每组40例。对照组采用常规产科护理及分娩决策模式，实验组在常规护理基础上，引入助产士参与分娩决策。结果 实验组自然分娩率显著高于对照组（P<0.05）；实验组产妇分娩过程中的疼痛耐受度评分高于对照组（P<0.05）；实验组产妇产后出血发生率低于对照组（P<0.05）。结论 助产士参与分娩决策能够有效提高自然分娩率，增强产妇疼痛耐受能力，降低产后出血风险，对改善分娩结局、保障母婴健康具有重要意义，值得在产科临床实践中广泛推广。

Abstract

Objective To investigate the impact of midwife involvement in delivery decisions on the rate of spontaneous childbirth, providing scientific evidence to optimize obstetric care models and increase the rate of spontaneous childbirth.
Methods From January 2024 to January 2025,at our hospital's obstetrics department,80 women were selected as research subjects according to strict inclusion and exclusion criteria, randomly divided into a control group and an experimental group, with 40 cases in each group. The control group received routine obstetric care and delivery decision-making model, while the experimental group, in addition to routine care, involved midwives in delivery decision-making.
Results The spontaneous childbirth rate in the experimental group was significantly higher than that in the control group(P<0.05);the pain tolerance scores of women in the experimental group during labor were higher than those in the control group(P<0.05);the postpartum hemorrhage incidence in the experimental group was lower than that in the control group(P<0.05).
Conclusion   Midwife involvement in delivery decision-making can effectively increase the rate of spontaneous childbirth, enhance women's pain tolerance, reduce the risk of postpartum hemorrhage, and is significant for improving delivery outcomes and ensuring maternal and infant health, making it worthy of widespread promotion in obstetric clinical practice.