家庭导乐模式对于初产妇分娩结局及产褥期后心理随访调查研究

Follow-Up Survey and Study on the Outcome of First Maternity and Psychology of Post Maternity on the Basis of Family Doula Pattern

摘要: 目的：探讨家庭导乐模式对初产妇分娩结局及产褥期后心理的影响。方法：选择2022.01~2022.09在温州市妇女儿童医院分娩的初产妇作为研究对象，共计111例，随机分为对照组(59例，给予常规分娩护理)和观察组(52例，给予家庭导乐分娩护理)，对比两组产妇的分娩方式、新生儿Apgar评分、产后出血量、产道损伤程度、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分。结果：观察组顺产率明显高于对照组，产后出血量和侧切率明显低于对照组，P < 0.05；观察组SAS评分与SDS评分均低于对照组，P < 0.05。结论：家庭导乐分娩模式可以提高顺产率，减轻产道损伤，减少产后出血量，改善孕妇心理状况，值得推广应用。

Abstract: Objective: To explore the effects of family Doula Pattern on the outcome of primary delivery and the psychological effect after puerperium. Methods: We se-lected women of the first maternity from January, 2022 to September, 2022 in Wenzhou Women and Children Hospital as the research objects, the total number was 111 cases, randomly divided into the control group (59 cases, given regular birth care) and the observation group (52 cases, given family Doula delivery care). We compared the two groups of mode of delivery, newborn Apgar score, postpartum bleeding volume, injury of delivery canal, score of Self-rating anxiety scale (SAS), score of Self-rating depression scale (SDS), and got the following outcomes. Results: Natural labour rate of the observation group was significantly higher than that of the control group; postpartum bleeding volume and side-cutting rate of the observation group were significantly lower than those of the control group (P < 0.05); the SAS score and the SDS score of the observation group were lower than those of the control group (P < 0.05). Conclusion: Finally, it was concluded that the family Doula Pattern can improve the natural labour rate, reduce the delivery canal injury, reduce postpartum bleeding volume, improve the psychological state of pregnant women, and it was worth promoting the application.