助产士护理对产妇分娩质量的影响效果观察

林文倩

（南方医科大学第三附属医院，广东 广州 510630）

【摘    要】目的：探究针对临床产妇实施助产士护理的价值，并观察其对分娩质量的影响。方法：本院于 2020年 1月 -2020年 3 月纳入 50 例初产妇开展研究。依据随机数字表法选出 25 例产妇实施常规分娩护理模式（A 组），另外 25 例产妇采取助产士护理模式（B 组），评估两组护理干预效果。结果：B 组产妇第一、二、三产程以及总产程耗时均优于 A 组；B 组阴道分娩率为 96.00%，显著高于 A 组 80.00%；B 组产妇经干预后，其产时疼痛评分及产后抑郁评分显著低 A 组，产后 2h出血量少于 A 组，新生儿 Apgar 评分明显高于 A 组（P＜0.05）。结论：助产士护理干预模式在临床初产妇围产期中合理应用，可显著缩短产程，减轻产时疼痛感，提高阴道分娩率及新生儿 Apgar 评分，减少产后出血量，并降低产妇产后抑郁评分。

【关键词】助产士护理；产妇；分娩质量；阴道分娩率

The Influence of Midwifery Nursing on the Quality of Childbirth for Parturient Women: An Observational Study

Lin Wenqian

(The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, 510630, China)

Abstract: Objective: To explore the value of implementing midwifery nursing for clinical parturient women and to observe its impact on the quality of childbirth. Methods: From January 2020 to March 2020, 50 nulliparous parturient women were included in this study at our hospital. According to the random number table method, 25 parturient women were assigned to the conventional childbirth care model group (Group A), and another 25 parturient women received midwifery nursing care (Group B), and the effectiveness of the two nursing interventions was evaluated. Results: The duration of the first, second, and third stages of labor as well as the total labor time in Group B were all shorter than those in Group A. The rate of vaginal delivery in Group B was 96.00%, which was significantly higher than the 80.00% in Group A. After the intervention, the pain scores during labor and postpartum depression scores in Group B were significantly lower than those in Group A, and the postpartum bleeding within 2 hours was less than that in Group A. The Apgar scores of newborns in Group B were significantly higher than those in Group A (P < 0.05). Conclusion: The application of midwifery nursing intervention in the perinatal period of clinical nulliparous parturient women can significantly shorten the labor process, reduce the pain during childbirth, increase the rate of vaginal delivery and the Apgar scores of newborns, reduce the amount of postpartum bleeding, and lower the postpartum depression scores in parturient women.

Keywords: Midwifery Nursing; Parturient Women; Childbirth Quality; Vaginal Delivery Rate