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目的:探讨导乐陪伴与第二产程半卧抱膝位分娩对产时质量的影响。方法:选择2014年1月~2015年12月我院住院分娩的240例产妇并随机等分为观察组和对照组。观察组实施全程陪产,并在第二产程中采用床头抬高60°,呈半卧位双手抱膝位分娩;对照组实施传统服务模式并在第二产程采用膀胱截石位分娩。比较两组的分娩方式、第二产程时间、产后2 h出血量、Apgar评分。结果:观察组自然分娩率高于对照组,第二产程时间及产后2 h出血量少于对照组,且新生儿Apgar评分优于对照组(P<0.05);两组产妇剖宫产率、新生儿窒息率比较有统计学意义(P<0.05)。结论:第二产程半卧抱膝位配合导乐陪伴分娩能缩短第二产程,减少产后出血,降低剖宫产率及新生儿窒息率,是一种理想的分娩服务模式。
Objective: To investigate the effect of doula companion and second-stage half-tuck tummy delivery on the quality of delivery. Methods: From January 2014 to December 2015, 240 pregnant women in our hospital were randomly divided into observation group and control group. The observation group carried out full paternity and adopted bedside elevation 60 ° in the second stage of labor. The patients in the semi-recumbent position had both hands and knees for childbirth. In the control group, the traditional service mode was adopted and bladder lithotomy was used in the second stage of labor. The mode of delivery, the second stage of labor, the amount of bleeding after 2 h, Apgar score were compared between the two groups. Results: The rate of spontaneous delivery in the observation group was higher than that in the control group. The time of the second stage of labor and the amount of bleeding at 2 h postpartum were less than those in the control group, and the Apgar score of neonates was better than that of the control group (P <0.05). The cesarean section rate, Neonatal asphyxia rate was statistically significant (P <0.05). Conclusion: It is an ideal mode of delivery service for the second stage of labor with half tuck position and douche delivery to shorten the second stage of labor, reduce postpartum hemorrhage, reduce cesarean section rate and neonatal asphyxia.