黄俊娟

[摘要] 目的 探究助产士陪伴分娩模式对产妇分娩方式以及产程时间的影响。方法 方便择取2018年3月—2019年10月在该院即将分娩的孕产妇共110名为研究对象，以入院时间先后顺序分为两组，包括对照组和观察组，每組55名。对照组孕产妇进行常规护理，观察组孕产妇进行助产士陪伴分娩护理，对比两组孕产妇分娩方式、产程时间、产后2 h出血量以及新生儿Apgar评分。结果 观察组阴道分娩率87.27%高于对照组65.45%（χ2=7.253，P<0.05），剖宫产率3.64%低于对照组20.00%（χ2=7.066，P<0.05），产程时间（365.35±22.18）min短于对照组（421.43±25.62）min（t=12.265，P<0.05），产后2 h出血量（30.72±6.35）mL少于对照组（55.34±7.22）mL（t=18.989，P<0.05），新生儿Apgar评分（9.35±0.43）分高于对照组（8.92±0.31）分（t=6.016，P<0.05），数据经比较差异有统计学意义（P<0.05）。结论 助产士陪伴分娩护理模式的应用能够有效缩短孕产妇产程，提升阴道分娩率，因此该种护理模式值得在临床中进行应用。

[关键词] 助产士陪伴分娩;产妇分娩方式;产程时间;产后出血量;新生儿Apgar

[中图分类号] R47          [文献标识码] A          [文章编号] 1674-0742（2020）09（a）-0123-04

[Abstract] Objective To explore the effect of the mode of delivery accompanied by midwives on the way of delivery and the time of delivery. Methods A total of 110 pregnant women who were about to give birth in the hospital from March 2018 to October 2019 were conveniently selected as the research objects. They were divided into two groups in the order of admission time， including a control group and an observation group， each group with 55 people. The pregnant women in the control group were given routine nursing care， and the pregnant women in the observation group were given birth care accompanied by a midwife. The two groups were compared with the two groups of women's delivery methods， labor time， 2 h postpartum bleeding and newborn Apgar score. Results The vaginal delivery rate of the observation group was 87.27% higher than that of the control group 65.45%（χ2=7.253，P<0.05）， the cesarean section rate 3.64% was lower than the control group 20.00%（χ2=7.066，P<0.05）， the labor time （365.35±22.18） min was shorter than the control group（421.43±25.62） min（t=12.265，P<0.05）， 2 h postpartum blood loss （30.72±6.35） mL was less than the control group （55.34±7.22） mL（t=18.989，P<0.05）， the newborn Apgar score （9.35±0.43）points was higher than the control group （8.92±0.31） points（t=6.016，P<0.05）， the data difference was statistically significant after comparison （P<0.05）. Conclusion The application of midwife-accompanied delivery nursing model can effectively shorten the delivery process of pregnant women and increase the vaginal delivery rate. Therefore， this nursing model is worthy of clinical application.

[Key words] Midwife to accompany delivery; Maternal delivery methods; Labor time; Postpartum hemorrhage; Newborn Apgar

随着我国人口政策的调整以及二胎政策的重新开启使得人们越来越关注优生优育问题。分娩属于一个正常的生理过程，大部分女性都会经历，但是妊娠期间很多孕产妇会产生不适应性，加之各种孕期反应会导致孕产妇情绪起伏较大，对分娩有担忧、恐惧的情绪，可能导致其分娩过程不顺利，对最终的分娩结局以及母婴健康造成不良影响[1]。而不同的分娩方式也具有各自的优势和缺点，临床中提倡自然阴道分娩以保证新生儿素质，提升优生优育率，这对提升社会人口素质也具有积极影响，因此在产妇围分娩期以及在分娩时进行有效的干预十分重要。有研究提出为孕产妇提供助产士陪伴护理能够更好地稳定孕产妇的情绪，保证分娩顺利[2]。该次方便择取2018年3月—2019年10月在该院即将分娩的孕产妇共110名分组开展不同护理模式效果的对照研究，现报道如下。……