The effect of natural childbirth in receiving doula care services with perineal massage and psychological care to reduce maternal and infant injuries
自然分娩产妇接受导乐关爱护理服务配合会阴按摩及心理护理对减轻母婴损伤的效果

摘要

目的 分析在自然分娩产妇中开展导乐关爱护理服务联合会阴按摩与心理护理对减轻母婴损伤的应用效果。方法 本次研究中筛选我院产科接收的60例自然分娩产妇，以随机数字表法将60例产妇开展分组研究，共分成30例观察组与30例对照组，给予对照组产妇常规助产护理，给予观察组产妇导乐关爱护理服务配合会阴按摩及心理护理，将两组助产护理效果进行对比分析。结果 两组助产护理结果比较显示，观察组产妇的焦虑情绪改善效果与对照组相比占据优势，产妇的分娩疼痛程度明显轻于对照组，分娩总产程所用时间短于对照组，会阴Ⅱ度裂伤率、会阴侧切率以及剖宫产率均低于对照组，最终获得的自然分娩成功率高于对照组，（P＜0.05）。结论 在自然分娩产妇中实施导乐关爱护理服务，同时给予会阴按摩及心理护理干预，可使临床助产护理服务质量得到进一步提升，及时改善产妇的分娩负性情绪，减轻产妇的分娩疼痛程度，增强产妇分娩舒适度，从而能够减轻母婴损伤程度，提高自然分娩率。

Abstract

Objective To analyze the application effect of Doula care service combined with perineal massage and psychological nursing on reducing maternal and infant injury in natural childbirth.
Methods In this study, 60 cases of natural childbirth in the obstetrics department of our hospital were screened, and the 60 cases were divided into 30 observation group and 30 control group by random number table method. The control group was given routine midwifery care, and the observation group was given doula care service combined with perineal massage and psychological care, and the effects of midwifery care in the two groups were compared and analyzed.
Results The comparison of the results of midwifery nursing between the two groups showed that the improvement effect of maternal anxiety in the observation group was superior to that in the control group, the degree of maternal labor pain was significantly less than that in the control group, the total labor time was shorter than that in the control group, the rate of perineal ⅱdegree laceration, lateral perineal incision and cesarean section were lower than that in the control group, and the final success rate of natural delivery was higher than that in the control group. (P < 0.05).
Conclusion   The implementation of Doula care and nursing service in natural delivery of parturient women, together with perineal massage and psychological nursing intervention, can further improve the quality of clinical midwifery nursing service, timely improve the negative emotions of parturient women, reduce the pain of parturient women, enhance the comfort of parturient women, so as to reduce the degree of maternal and infant injury and increase the rate of natural delivery.