观察伴随助产与体位指导对分娩结果的影响

Hong Sun
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摘要

目的:探讨和分析伴产体位指导对分娩效果的影响。方法:选取2021年4月至2023年4月在大丰市人民医院住院的产妇68例,采用单双号抽签法分组,分为合作组和常规组,每组34例。合作组患者配合陪产过程及体位指导,常规组患者进行常规助产干预。比较两组产妇分娩结局、各产程持续时间、心理状态及产后出血量。结果:配合组阴道分娩和剖宫产分娩结局均显著优于常规组(P <0.05)。合作组与常规组经阴道外侧切口比较,差异无统计学意义(P >0.05)。合作组各劳动过程持续时间显著短于常规组(P <0.05)。干预前,两组HAMD和HAMA评分均不显著(P >0.05);干预后,合作组的HAMD和HAMA得分显著低于常规组(P <0.05)。配合组产后出血量明显低于常规组(P <0.05)。结论:全程助产及体位引导可改善分娩效果,提高自然分娩率。
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Examining the Influence of Accompanying Midwifery with Position Guidance on Delivery Outcomes
Objective: To explore and analyze the influence of accompanying midwifery with position guidance on deliveryoutcomes. Methods: A total of 68 puerpera who were admitted to Dafeng People’s Hospital from April 2021 to April 2023 were recruited, grouped using odd and even number draw methods, and divided into cooperation and regular groups with 34 cases in each group. The patients in the cooperation group cooperated with the process of accompanying midwifery and position guidance, whereas the patients in the regular group had routine midwifery intervention. The delivery outcome, the duration of each labor process, the psychological state, and the amount of postpartum hemorrhage were compared between the groups. Results: The delivery outcomes of vaginal delivery and cesarean section in the cooperation group were significantly better than those in the regular group (P < 0.05). The difference was not statistically significant when comparing the cooperation group with the regular group through a lateral vaginal incision (P > 0.05). The duration of each labor process in the cooperation group was significantly shorter than in the regular group (P < 0.05). Before the intervention, the HAMD and HAMA scores of the two groups were insignificant (P > 0.05); but the HAMD and HAMA scores of the cooperation group were significantly lower than the regular group after the intervention (P < 0.05). The amount of postpartum bleeding in the cooperation group was markedly lower than that in the regular group (P < 0.05). Conclusion: Accompanying midwifery and position guidance throughout the delivery process can improve delivery outcomes and increase the natural delivery rate.
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