国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (5): 540-542.

• 论著 • 上一篇    下一篇

导乐仪联合导乐陪伴对初产妇分娩的影响

郑玉敏，董胜雯，兰淑海   

  1. 301800 天津市宝坻区人民医院（郑玉敏，兰淑海）；天津医科大学护理学院（董胜雯）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-10-15 发布日期:2015-10-15
  • 通讯作者: 兰淑海

The Influence of Doula Instrument Combined with Doula Support to the Primiparas′ Delivery

ZHENG Yu-min，DONG Sheng-wen，LAN Shu-hai   

  1. Tianjin Baodi Hospital，Tianjin 301800，China（ZHENG Yu-min，LAN Shu-hai）；School of Nursing，Tianjin Medical University，Tianjin 300070，China（DONG Sheng-wen）
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-10-15 Online:2015-10-15
  • Contact: LAN Shu-hai

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摘要： 目的：探讨导乐仪联合导乐陪伴对初产妇疼痛感知和产程时间的影响。方法：选择2013年12月—2014年2月天津市宝坻区人民医院住院分娩的符合纳入标准和排除标准的初产妇，对照组20例采用传统方法观察产程和接产；观察组20例为采用导乐仪联合导乐陪伴的初产妇，观察并记录2组初产妇的疼痛程度和产程时间等情况。结果：是否使用导乐仪与宫口扩张不同阶段对视觉模拟评分（VAS）存在交互作用（F交互=6.636，P交互=0.002），宫口扩张不同阶段VAS评分有差异（F时间=522.636，P时间＜0.001）。是否使用导乐分娩VAS评分之间有差异（F组间=28.903，P组间＜0.001）。观察组的第一产程时间较对照组下降，差异有统计学意义（t=4.669，P=0.000）。结论：导乐仪联合导乐陪伴能够减轻初产妇分娩中的疼痛感，起到镇痛的作用，同时缩短产程，让初产妇顺利自然分娩。

关键词: 自然分娩, 分娩疼痛, 分娩发动, 导乐仪, 导乐分娩

Abstract: Objective：To explore the influence of Doula instrument combined with Doula support to the primiparas′ pain perception and labor course. Methods: Conducted a program to compare differences between 20 women with Doula support (study group) and 20 women without Doula support （ｃｏｎｔｒｏｌ ｇｒｏｕｐ） from December 2013 to February 2014 in Baodi People′s Hospital in Tianjin. All 40 primiparas in accordance with inclusion criteria and exclusion criteria were divided randomly into two groups. Compared the differences in pain perception and labor course between two groups. Results: There is interaction between the using Doula instrument combined Doula support in labor and the VAS score in different stage of labor course （Finteraction=6.636, Pinteraction=0.002）. The VAS were statistically significant in different stages of labor （Ｆｔｉme=522.636, Ptime＜0.001）. The differences of VAS between study group and control group was statistically significant （Fgroups=28.903, Pgroups＜0.001）. The time of the first stage of labor in study group was shorter than in the control group （t=4.669, P=0.000）. Conclusions: Doula instrument combined Doula support is helpful to reduce the pain and shorten labor stages. It promotes natural labor in a comfortable, painless and safe situation.

Key words: Natural childbirth, Labor pain, Labor onset, Doula instrument, Doula delivery