以助产士为主导的产时护理对初产妇分娩质量的影响

[摘要] Abstract：Objective To investigate the effect of midwife-oriented intrapartum nursing on delivery quality of parturient.Methods A total of 106 primiparas were randomly divided into the control group and the observation group, with 53 cases in each group. Both two groups received routing nursing care during perinatal stage, while the midwife-oriented intrapartum nursing interventions were applied in the observation. The delivery outcome, stages of labor, postpartum bleeding, postpartum complication and mental status were observed, and the neonatal asphyxia was compared between two groups.Results The cesarean section rate was 11.32%(6/53)in the observation group and was 26.41%(14/53)in the control group, with a significant different(P<0.05). The postpartum complication rate was lower in the observation group than that in the control group, with a significant difference(P<0.05). The primiparas in the observation group had shorter total labor time, lower amount of postpartum hemorrhage and shorter length of stay compared with those in the control group(P<0.01). The Hamilton depression scale(HAMD)was(9.25±1.98)in the observation group and was(14.27±2.69)in the control group, with a significant difference(P<0.01).Conclusion Midwife-oriented intrapartum nursing can effectively improve the quality of maternal delivery and reduce the risk of postpartum depression.

[学科分类] 护理学

[关键词] 助产士;护理;分娩方式;产后并发症;抑郁情绪