新型围产医疗模式:导乐陪伴分娩

New perinatal medical model: Doula accompanied delivery

  • 摘要: 目的:推广导乐陪伴分娩,降低剖宫产率,促进自然分娩。方法:对150例导乐陪伴分娩和150例非导乐陪伴分娩的剖宫产率、新生儿窒息率和产后出血率及产程时间进行比较。结果:导乐陪伴分娩组的剖宫产率(14.00%)显著低于非导乐陪伴分娩组(36.00%),导乐陪伴分娩组经阴道分娩的难产率(2.33%)显著低于后者(9.38%),导乐陪伴分娩组产后出血发生率(4.67%)显著低于非导乐陪伴分娩组(14.67%)。两组新生儿窒息率无显著性差异。结论:导乐陪伴分娩作为一种新的产时服务模式,可显著降低剖宫产率,且不增加新生儿窒息率,可显著减少产后出血的发生,缩短产程,是一种值得推广的方法。

     

    Abstract: Objective: Popularize Doula delivery,which can reduce cesarean section rate,promote natural delivery,improve the relationship between doctor and patient.Methods: Compare the cesarean section rate,neonatal asphyxia rate,postpartum hemorrhage rate and parturition process of doula(150 cases),and non-doula accompanied(150 cases) delivery.Results: The cesarean section rate,dystocia rate of delivery,postpartum hemorrhage rate of doula delivery are all significantly lower than that of non-doula group.The neonatal asphyxia rate between these two groups has no significance.Conclusion: Doula accompanied delivery as a new delivery service model may reduce the rate of cesarean section and postpartum hemorrhage,decrease the process of parturition,and no correlation with neonatal asphyxia,which is worth to application in clinical practice.

     

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