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目的:探讨“一对一”的责任制助产方式对提高产科助产医疗服务质量的作用,为做好医院助产管理工作提供参考。方法:将未采用“一对一”责任制助产方式的2013年1月~2014年1月期间的228例产妇设为对照组,将2014年3月~2015年3月采用“一对一”责任制助产方式的230例产妇设为研究组,比较两组产妇对产科服务质量的满意度、产妇剖宫产率和产后出血发生情况。结果:研究组对产科服务质量的满意度明显高于对照组(P<0.05),而研究组的剖宫产率低于对照组(P<0.05),研究组产后出血的发生率较对照组稍低(P>0.05)。结论:“一对一”责任制助产方式在产科服务中的实施可以提高产妇对产科服务的满意度,也有利于降低剖宫产率和可能降低产后出血发生率。
OBJECTIVE: To explore the role of “one-to-one” responsibility-based midwifery to improve the quality of obstetric midwifery services and to provide a reference for midwifery management in hospitals. Methods: 228 maternity women who did not adopt “one-to-one” responsibility midwifery mode between January 2013 and January 2014 were selected as the control group, and from March 2014 to March 2015, One-to-one "Responsible midwifery method of 230 mothers set as the study group, the two groups of maternal satisfaction with the quality of obstetric services, maternal cesarean section rate and postpartum hemorrhage. Results: The satisfaction of obstetric service was significantly higher in study group than in control group (P <0.05), while the rate of cesarean section in study group was lower than that in control group (P <0.05). The incidence of postpartum hemorrhage in study group was higher than that in control group Slightly lower (P> 0.05). Conclusion: The implementation of one-to-one obligatory midwifery in obstetric services can improve maternal satisfaction with obstetric services, reduce the rate of cesarean section and possibly reduce the incidence of postpartum hemorrhage.