责任制助产护理对初产妇分娩方式及产程的影响

刘亚丽

（陕西省商洛市洛南县妇幼保健院，陕西 商洛，726100）

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摘要：

目的 探讨责任制助产护理对初产妇分娩方式及产程的影响。方法 收集我院2013年9月至2016年9月收治的80例初产妇作为本次研究对象，按照随机数字表法分为观察组和对照组，每组40例，对照组产妇给予常规护理措施，观察组产妇给予责任制助产护理，比较两组产妇的分娩方式及产程时间。结果 观察组产妇自然分娩率为85.00%（34/40），高于对照组的 60.00%（24/40）（P<0.05）；观察组产妇剖宫产率为15.00%（6/40），低于对照组的40.00%（16/40），差异有统计学意义（P<0.05）；观察组产妇总产程时间为（452.84±149.89）min，短于对照组的（589.73±247.38）min，差异有统计学意义（P<0.05）。结论 责任制助产护理可使初产妇掌握更多的分娩相关知识，有效提高了自然分娩率，降低了剖宫产率，使产程缩短，提高了护理质量。

关键词：责任制助产护理；初产妇；分娩方式；产程时间

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)19-0163-02

Influence of responsibility system for midwifery care on delivery mode and stage of lobor in primiparas
LIU Ya-Li
(Maternity and Child Care Center of Luonan County, Shangluo 726100, China)

ABSTRACT: Objective To discuss the influence of responsibility system for midwifery care on delivery mode and stage of lobor in primiparas. Methods Eighty cases of primiparas in our hospital from September 2013 to September 2015 were selected as the study objects, and divided into observation group and control group according to random number table method, with 40 cases in each group. The control group was treated with conventional nursing, and the observation group was treated with responsibility system for midwifery care. The maternal mode of delivery and labor time were compared between the two groups. Results The rate of natural delivery in the observation group was 85.00% (34/40), which was higher than 60.00% (24/40) in the control group (P<0.05); the cesarean section rate of the observation group was 15.00% (6/40), which was lower than 40.00%(16/40) of the control group, the difference was statistically significant (P<0.05). The total duration of labor in the observation group was (452.84±149.89) min, which was shorter than (589.73±247.38) min in the control group, and the difference was statistically significant (P <0.05). Conclusion The responsibility system for midwifery care could help primiparas grasp more knowledge about delivery, improve the rate of natural delivery, decrease cesarean section rate, shorten labor time and improve the nursing quality.
KEYWORDS: responsibility system for midwifery care; primiparas; delivery way; labor time

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