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目的 :探讨导乐陪伴分娩对分娩过程 ,分娩方式及新生儿的影响。方法 :对 85例导乐分娩及 16 2例非导乐分娩的产妇的分娩方式、产程时间、产后出血量、新生儿Apgar评分、剖宫产原因进行比较。结果 :导乐陪伴分娩组能够降低手术产率 ,缩短产程 ,降低产后出血率 ,前者因宫缩乏力剖宫产的比率显著低于后者。两组新生儿窒息率无显著性差异 (P >0 .0 5 ) ,结论 :导乐陪伴分娩可明显降低剖宫产率 ,然而并不增加新生儿窒息率、经阴道分娩率升高、产程缩短、阴道分娩难产率降低。因此 ,导乐陪伴分娩是一种值得推广的 /产时服务新模式。
Objective: To investigate the effect of doula companion delivery on delivery process, mode of delivery and newborn infants. Methods: The delivery mode, delivery time, postpartum hemorrhage, neonatal Apgar score and causes of cesarean section were compared between 85 cases of lead delivery and 162 cases of non-lead delivery. Results: Dauphole accompany delivery group can reduce the surgical yield, shorten the labor process and reduce the rate of postpartum hemorrhage, the former due to uterine inertia was significantly lower than the rate of cesarean section. There was no significant difference in neonatal asphyxia between the two groups (P> 0.05). Conclusion: Doppler echocardiography can significantly reduce the rate of cesarean section, but does not increase neonatal asphyxia, vaginal delivery rate, labor Shorten the vaginal delivery rate of dystocia decreased. Therefore, Dauphole accompany childbirth is a worthy promotion / new service model.