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1、目录1前言.61.1背景和意义.61.2研究目的.71.3关键词及定义.72研究方法92.1研究设计.92.2研究对象.92.3研究工具.92.4研究方法.102.5研究步骤103结果 123.1观察组及对照组总产程及分娩方式的比较.123.2观察组及对照组产后出血量的比较.123.3观察组及对照组对新生儿Apgar分值方面的影响.134讨论.145结论.16致谢18参考文献19论文题目 导乐联合家属全程陪伴分娩的临床分析和比较学科 高等护理本科申请人 指导老师 摘要目的 通过对导乐联合家属全程陪伴分娩的临床分析和比较，探讨一种新的导乐分娩方式，进一步减少母婴危害，促进自然分娩。方法 孕妇在待
2、产过程中，允许一位家属进入产房陪伴孕妇渡过临产分娩的全过程。选择2010年6月2010年10月期间在妇产科分娩的30例要求导乐联合家属全程陪伴的初产妇作为新导乐组（观察组），一对一责任制陪伴分娩的30例为一对一组（对照组）。两组产妇均为单胎头位，无妊娠合并症及并发症的初产妇。对两组的自然分娩率、剖宫产率、产程时间、产后出血及新生儿Apgar进行比较。结果 导乐联合家属全程陪伴组的剖宫产率、总产程时间、产后出血均明显低于一对一责任制陪伴组（P0.01)；导乐联合家属全程陪伴组的新生儿Apgar窒息率低于一对一责任制陪伴组（P0.05)结论 导乐联合家属全程陪伴分娩在一定程度上降低了剖宫产率和新生
3、儿窒息率，有助于减少产后出血的发生，且在一定程度上解除了产妇的恐惧和焦虑。采用其更加顺利。它是一种适宜的、以产妇为中心的、促进母婴安全的产时服务模式。关键词 初产妇，导乐联合家属全程陪产分娩、产程、剖宫产。CONTENTS1 Introduction 6 1.1 Background and Significance6 1.2 Research Objective.7 1.3 Key words and definitions72 Methods9 2.1 Study Design92.2 study9 2.3 research tool9 2.4 Research Methods10 2.5
4、 Research steps103 Results12 3.1 The observation group and control group of labor and mode of delivery comparison12 3.2 The observation group and control group comparison of postpartum hemorrhage12 3.3 The observation group and control group on neonatal Apgar scores of134 Discussion145 Conclusion16T
5、hanks18References19Topic: doula accompany joint family of clinical analysis and comparison of delivery Speciality: higher nursing undergraduate subjectsApplicants : Supervisor: Li AbstractObjective: Purpose of the joint family by doula accompany delivery of clinical analysis and comparison of a new
6、Doula delivery system to further reduce maternal and child harm, and promote natural childbirth.Method : of pregnant women in the labor process, allowing a family member to accompany women into the delivery room through the whole process of childbirth labor. Select June 2010 -2010 in October during
7、the Second Hospital of Obstetrics and Gynecology in the 30 patients required delivery doula accompany the beginning of the joint family as a new doula group mothers (study group), one on one accountability accompany childbirth 30 with one to one group (control group). Two groups of mothers were sing
8、le cephalic, no early pregnancy complications and maternal complications. Natural birth rate of the two groups, cesarean section rate, birth process, postpartum hemorrhage and neonatal Apgar comparison.Results: doula accompany the joint family group, cesarean section rate, the total labor time, post
9、partum hemorrhage was significantly lower than spend one on one accountability group (P 0.01); doula accompany the joint family group of neonatal asphyxia Apgar accompanied by less than one-accountability group (P 0.05)Conclusion: doula accompany the joint family labor to a certain extent, reduce th
10、e cesarean section rate and neonatal asphyxia, help to reduce the incidence of postpartum hemorrhage, and to some extent relieved of maternal fear and anxiety. With its more smoothly. It is a suitable to maternity-centered, and promote the safety of intrapartum maternal and child service models.Keyw
11、ords : primipara families throughout the United doula paternity childbirth, labor, cesarean section.1 前言1.1 背景和意义 正常分娩是指妊娠满3742周之间，胎儿及其附属物从母体产道娩出的过程。经临床研究，越来越多的事实证明，胎儿在子宫节律性的收缩下，经过一系列的移动，最后通过产道娩出。期间胎儿头部和胸部被产道挤压，就是一种不断受到触压觉刺激的过程，这将对今后其感知发育起到重要的作用。随着卫生医学的发展，集中住院分娩已逐步代替了家庭分娩。近年来，越来越多的医疗干预和剖宫产率的上升一时成为世界
12、性的的趋势1.盲目的采用手术分娩方法，代替引导自然分娩的情况令人担忧。他不仅无谓的增加了医疗保健资源的消耗，还对母婴短期及长期的健康都有影响。为此，转变产时服务模式，减少不必要的医疗干预，已引起国际社会和世界医学界的广泛关注。但由于将产妇与家庭隔开，产房环境的严肃性使产妇心理压力很大。据专家经过大量调查研究表明，大多数产妇在分娩过程中有紧张和恐惧感，这种不良情绪会使体内茶酚胺分泌增加，去甲肾上腺素分泌减少，导致子宫收缩乏力，产程延长。随着护理学模式的改变，以病人为中心，以人为本，成为整体护理的具体表现，其目的是使病人在生理、心里、社会精神上处于满足而舒适的状态，减少或降低不适的程度。 即将做母亲的的女性在分娩前往往有一种既幸福有恐惧的心理。特别是初产妇由于对分娩知识和经验的缺乏，更是顾虑重重，在生产过程中出现的痛苦难忍的阵阵公所，既消耗了精力，又不能配合医护人员的要求，往往会使产程延长，反而增加痛苦，甚至造成难产。目前许多医院逐步开展了导乐联合家属全程陪伴分娩方法。它是指一位有分娩经验的助产士加产妇信任的一位有自然分娩经验的亲友。前者主要给予产妇生理和技巧上的指导，
