PDF(Pubmed)
Abstract：
OBJECTIVE: To explore the effects of positional care combined with doula delivery during childbirth in the correction of abnormal fetal position.
METHODS: In this retrospective study, a total 108 pregnant women with abnormal fetal orientation were included from February 2018 to February 2021 in the Jinan City People\'s Hospital. Among them, 54 patients who received positional care combined with doula delivery were included in the intervention group (IG), while the other 54 patients who received routine nursing were included in the control group (CG). The data of the fetal orientation correction, delivery method and the pain score of puerpera of two groups were collected. The length of delivery, delivery fear score, the degree of neonatal asphyxia and nursing satisfaction were observed as the secondary outcomes.
RESULTS: Compared with the CG, puerpera in the IG had more occipital anterior position, less occipital transverse and posterior position, higher eutocia rate, lower pain and fear scores and shorter length of delivery; the Apgar score and nursing satisfaction were higher in the IG (all P<0.05).
CONCLUSIONS: Positional care combined with doula delivery can effectively correct abnormal fetal orientation, improve the rate of eutocia, reduce puerpera\'s pain and fear, shorten the length of delivery, and improve the quality of neonatal outcome and patients\' satisfaction.
METHODS: In this retrospective study, a total 108 pregnant women with abnormal fetal orientation were included from February 2018 to February 2021 in the Jinan City People\'s Hospital. Among them, 54 patients who received positional care combined with doula delivery were included in the intervention group (IG), while the other 54 patients who received routine nursing were included in the control group (CG). The data of the fetal orientation correction, delivery method and the pain score of puerpera of two groups were collected. The length of delivery, delivery fear score, the degree of neonatal asphyxia and nursing satisfaction were observed as the secondary outcomes.
RESULTS: Compared with the CG, puerpera in the IG had more occipital anterior position, less occipital transverse and posterior position, higher eutocia rate, lower pain and fear scores and shorter length of delivery; the Apgar score and nursing satisfaction were higher in the IG (all P<0.05).
CONCLUSIONS: Positional care combined with doula delivery can effectively correct abnormal fetal orientation, improve the rate of eutocia, reduce puerpera\'s pain and fear, shorten the length of delivery, and improve the quality of neonatal outcome and patients\' satisfaction.
摘要：
目的：探讨体位护理联合导乐分娩在纠正胎位异常中的作用。
方法：在这项回顾性研究中，2018年2月至2021年2月,在济南市人民医院共纳入108例胎儿取向异常的孕妇.其中,将54例接受体位护理联合导乐分娩的患者纳入干预组(IG)，另外54例接受常规护理的患者纳入对照组(CG)。胎儿方向校正的数据，收集两组产妇的分娩方式和疼痛评分。交货的长度，交货恐惧得分,观察新生儿窒息程度和护理满意度作为次要结局。
结果：与CG相比，IG的产妇有更多的枕前位置，枕骨横向和后部位置较少，较高的顺产率，疼痛和恐惧评分较低，分娩时间较短；IG中Apgar评分和护理满意度较高（均P<0.05）。
结论：体位护理联合导乐分娩可有效纠正胎儿方位异常，提高顺产率，减少产妇的痛苦和恐惧，缩短交货时间，提高新生儿结局质量和患者满意度。
方法：在这项回顾性研究中，2018年2月至2021年2月,在济南市人民医院共纳入108例胎儿取向异常的孕妇.其中,将54例接受体位护理联合导乐分娩的患者纳入干预组(IG)，另外54例接受常规护理的患者纳入对照组(CG)。胎儿方向校正的数据，收集两组产妇的分娩方式和疼痛评分。交货的长度，交货恐惧得分,观察新生儿窒息程度和护理满意度作为次要结局。
结果：与CG相比，IG的产妇有更多的枕前位置，枕骨横向和后部位置较少，较高的顺产率，疼痛和恐惧评分较低，分娩时间较短；IG中Apgar评分和护理满意度较高（均P<0.05）。
结论：体位护理联合导乐分娩可有效纠正胎儿方位异常，提高顺产率，减少产妇的痛苦和恐惧，缩短交货时间，提高新生儿结局质量和患者满意度。
