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目的:观察分娩管理对产妇分娩方式、产程及心理状态影响,从而为产妇规范管理提供参考。方法:按照随机数字表法将苍南县人民医院住院分娩的100例产妇分组为对照组与观察组,各50例。对照组实施常规干预;观察组在对照组常规干预基础上实施分娩管理干预。统计与比较两组产妇管理前后不良情绪变化、分娩方式、出血情况、产程时间。结果:经干预后,两组产妇抑郁、焦虑评分较干预前明显下降,但观察组较对照组下降显著(P<0.05);两组产妇分娩方式比较,观察组剖宫产率明显低于对照组(P<0.05)。观察组第一、二产程及产后出血量均明显少于对照组(P<0.05);观察组第一、二产程及总产程时间均明显短于对照组(P<0.05)。结论:实施分娩管理可稳定产妇情绪,减少剖宫产,促进产程进程,减少出血量,保障母婴生命安全。
Objective: To observe the impact of childbirth management on maternal delivery mode, labor process and psychological status so as to provide references for standard maternal management. Methods: According to the random number table method, 100 maternal inpatients in Cangnan County People’s Hospital were divided into control group and observation group, 50 cases in each group. Control group to implement routine intervention; observation group in the control group on the basis of routine intervention to implement childbirth management intervention. Statistics and comparison before and after maternal management adverse emotional changes, mode of delivery, bleeding, labor time. Results: After the intervention, the depression and anxiety scores of the two groups were significantly lower than those before the intervention, but the observation group had a significant decrease (P <0.05); the cesarean section rate of the observation group was significantly lower than that of the control group Group (P <0.05). The first and second stage of labor and the amount of postpartum hemorrhage in the observation group were significantly less than those in the control group (P <0.05). The first, second and second stage of labor and the length of labor in the observation group were significantly shorter than those in the control group (P <0.05). Conclusion: The implementation of childbirth management can stabilize maternal sentiment, reduce cesarean section, promote the process of labor, reduce the amount of bleeding and ensure the safety of mother and infant.