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目的探讨责任制助产士助产护理对初产妇分娩质量的影响。方法回顾性分析宜春市人民医院2014年5月—2016年10月收治的围生期初产妇94例,采用随机综合序贯法将其分为对照组和观察组,每组47例。对照组患者予以常规产科护理,观察组予以责任制助产士助产护理,比较两组产妇满意度、产程时间、住院时间、新生儿不良事件发生率、剖宫产率。结果观察组产妇护理满意度高于对照组,产程时间、住院时间短于对照组,胎儿窘迫发生率、新生儿窒息发生率低于对照组,剖宫产率低于对照组(P<0.05)。结论责任制助产士助产护理可有效提高初产妇分娩质量,保证母婴安全,提高护理满意度。
Objective To explore the impact of midwifery control of midwife on the quality of primipara. Methods A retrospective analysis of Yichun People’s Hospital from May 2014 to October 2016 94 cases of perinatal primipara, were randomly divided into control group and observation group, 47 cases in each group. The patients in the control group were given routine obstetric care. The observation group was given midwifery care as responsibility midwifery. The satisfaction rate, labor duration, length of hospital stay, incidence of neonatal adverse events and cesarean section were compared between the two groups. Results The satisfaction rate of maternity nursing in the observation group was higher than that of the control group, and the duration of labor and hospital stay was shorter than that of the control group. The incidence of fetal distress and neonatal asphyxia was lower than that of the control group, and the cesarean section rate was lower than that of the control group (P <0.05) . Conclusions The midwifery of responsible midwives can effectively improve the quality of maternal delivery, ensure the safety of maternal and infant and improve the satisfaction of nursing.