摘要
目的 浅析产妇采用产房助产士主导下全程陪伴护理进行围产期指导,致力于降低产后出血,提高产房陪护质量。方法 选取2025年1月至2026年1月收治的产妇100例,对照组为常规护理;观察组为产房助产士主导下全程陪伴护理,对比产妇出血量、产程用时、母婴结局。结果 观察组产妇出血量指标优于对照组,差异有统计学意义(P<0.05);观察组产妇产程短于对照组,差异有统计学意义(P<0.05)。观察组母婴不良结局低于对照组,差异有统计学意义(P<0.05)。结论 针对产妇实施产房助产士主导下全程陪伴护理的效果显著,有助于预防产后出血,缩短产程,提高分娩护理服务整体质量,值得推广。
关键词: 产房助产士;全程陪伴护理;自然分娩;产后出血;母婴结局
Abstract
Objective To analyze the use of midwife-led full-time accompanying care by midwives in the delivery room for perinatal guidance, aiming to reduce postpartum hemorrhage and improve the quality of delivery room accompaniment. Methods 100 pregnant women admitted from January 2025 to January 2026 were selected. The control group received routine care; the observation group received midwife-led full-time accompanying care throughout the delivery process. The amount of postpartum bleeding, duration of labor, and maternal and infant outcomes were compared. Results The bleeding volume index of the observation group was better than that of the control group, and the difference was statistically significant (P < 0.05); the duration of labor of the observation group was shorter than that of the control group, and the difference was statistically significant (P < 0.05). The adverse outcomes of the infants and mothers in the observation group were lower than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion Implementing midwife-led full-time accompanying care in the delivery room for pregnant women has a significant effect, which helps prevent postpartum hemorrhage, shortens the labor process, and improves the overall quality of delivery care services. It is worthy of promotion.
Key words: Midwife in delivery room; Full-time accompanying care; Natural delivery; Postpartum hemorrhage; Maternal and infant outcomes
参考文献 References
[1] 刘丽彬.产房助产士全程陪伴护理对产妇产后出血的预防效果[J].中国冶金工业医学杂志,2025,42(01):59-60.
[2] 马巧英.促进自然分娩中应用助产士心理护理的效果及对孕产妇心理状态的影响[J].中国医药指南,2023,21(36): 130-132.
[3] 王晨,靳静,李冕,等.直立式分娩对自然分娩产妇产程时间及分娩结局的影响[J].护理学杂志,2024,39(22):27-30+36.
[4] 刘艳兰.产房助产士对产后出血的预防和护理观察[C]//榆林市医学会.第五届全国医药研究论坛论文集(四).南昌市第一医院妇产科;,2024:748-753.
[5] 王娟,孙学花.产房助产士全程陪护对减少自然分娩产后出血的作用分析[J].实用妇科内分泌电子杂志,2024, 11(16):113-115.
[6] 姚云,成磊.产房助产士护理对产后出血的临床预防处理效果分析[J].中西医结合心血管病电子杂志,2024,12(10): 81-83+15.
[7] 周素平,邹秀红,骆雪慧.助产士心理护理在促进自然分娩中的效果探讨[J].心理月刊,2022,17(18):83-85.
[8] 张晓燕.助产士“一对一”全程护理干预对高龄产妇分娩结局的影响[J].妇儿健康导刊,2023,2(09):126-128.
[9] 赵海艳,杨敏,尚芯羽,等.转变助产服务模式对自然分娩产妇的应用价值[J].河北医药,2023,45(08):1278-1280.
[10] 钱星.围产期助产士整体护理干预对孕产妇分娩方式及产程的影响[J].妇儿健康导刊,2023,2(06):149-151.