147例导乐陪伴分娩的临床分析

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1、147例导乐陪伴分娩的临床分析【关键词】导乐陪伴分娩【摘要】目的通过对导乐陪伴分娩的临床分析和比较，为推广导乐陪伴分娩提供依据。方法対2001年12月〜2002年11月期间147例要求导乐陪伴分娩产妇作为导乐组(观察组)，并按顺序下一位自然临产H不要求导乐陪伴分娩者147例为非导乐组(对照组)。观察两组分娩方式、产程、产后出血及新生儿预后。结杲导乐组顺产108例;产钳助产2例;剖宫产37例，难产率26.53%;总产程6.42h;产后出血1例(700ml);新生儿Apgar评分均>7分。对照组顺产77例;产钳助产5例涪IJ宫产65例，难产率44.90%;总产程6.34h;产

2、后出血6例(683.33±215ml);新生儿Apgar评分4〜7分4例。两组产妇总产程比较差异无显著性(P>0.05)。分娩方式、产后出血和新生儿窒息比较差异有显著性(PvO.05)。縱导乐陪伴分娩在一定程度上降低了剖宫产率和新生儿窣息率，有助于减少产后出血的发生。它是一种适宜的、以产妇为中心的、促进母婴安全的产时服务模式。关键词导乐陪伴分娩vPstyle='TEXT-INDENT:24px"align=center>Clinicalstudy:analysisandcomparisonofl47pai1urient

3、lign=center>keptdoulacompanyparturitionLiMin,DuYanshengDepartmentofObstetricandGynecology,MaternityandChildHospitalofHongKouDistrict,Shanghai200082.[Abstract]ObjectiveToprovidebasisforspreadingkeepDoulacompanypart

4、uritionbyclinicalanalysisandcomparison.Methods147parturientswhohospitalizedduringDecember200ltoNovember2002andreceivedkeep一ingDoulacompanyparturitionwereconsideredasobservedgroupwhileI47parturientswhowerenexttothemandre~fuseditwereregardedascontrolgroup.Deliveryway,birthprocess,postpartum

5、haemorrhage,prognosisofnewbornswereobserved.ResultsInobservedgroup,therewereI08spontaneousdeliverycases,2obstericalclamassistantcas一esand37cesareandeliverycases.Therateofbirthdifficultywas26.53%.Totalbirthprocesswas6.42h.Therewaslcasesofpostpartumhaemorrhage(700ml).Apgarscoreofnewbornwasa

6、bove7.Incontrolgroup,therewere77spontaneousdeliverycases,5obstericalclamassistantcasesand6cesareandeliverycases.Birthdifficultyratewas44.90%>Totalstagesoflaborwas6.34h.6caseswerepostpartumhaemorrhage(683.33±215ml).4newbornsApgarscorerangedfrom4to7.Nomarkeddifferencewasacquiredintotalbirth

7、processbetweenthesetwogroups(P>0.05),andthedifferenceinwayofdeliverytpostpartumhaemorrhage,neonatalasphyxiawasmarked(P<0.05)・Con一elusionKeepDoulacompanyparturitionreducedtheincidenceofcesareandeliveryandneonatalasphyxiainsomedegree,anditcouldbehelpfultoavoidthehappe