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张景.助产士门诊对初产妇分娩意向及分娩结局的影响[J].上海护理,2018,18(S1):
助产士门诊对初产妇分娩意向及分娩结局的影响
DOI：
中文关键词:  助产咨询门诊  初产妇  分娩意向  分娩结局
英文关键词:
基金项目:
作者单位E-mail
张景* 上海交通大学医学院附属仁济医院南院 1031137107@qq.com 
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中文摘要:
      开设助产士一对一咨询门诊，提高初产妇对顺产和剖宫产相关知识的了解，并明确两种分娩方式的对自身及新生儿的利弊以及剖宫产的相关指征，影响其分娩意向，观察其分娩结局并设计调查问卷了解其产后的再次妊娠的分娩意向。方法选取我院2016年5月~2017年5月收治的300例初产妇按有无参加助产士咨询门诊分为对照组和咨询组各150例，对照组接受孕妇学校提供的常规产前教育；咨询组接受助产士咨询门诊的教育，根据初产妇个性化需求实施干预，调查两组初产妇最终的自然分娩率、产后出血率、剖宫产率及产后康复时间和再次妊娠的分娩意向。结果本次研究选取的300例孕妇，对比其分娩意向及分娩结局，存在显著差异性，P<0．05，有统计学意义。结论通过助产士门咨询门诊对初产妇实施个性化宣教，可有效提高初产妇的自然分娩率，减少产后出血，缩短产后康复时间。
英文摘要:
      Purpose The purpose of providing an one to one outpatient of midwife is to strengthen pregnants'' understanding of pregnancy and delivery ,make clear the impact on pregnant ,baby and relevant indications for caesarean birth ,and change their choice of delivery way eventually. We observe their results and design a questionnaire to know their satisfaction after delivery. Method We conduct the research of the outpatient’s influence to the pregnants'' choice of delivery way who is the first time to deliver. The method of this research is to use the data of pregnant treated by our hospital from May 2016 to May 2017 and divide them into two teams called compared team accepting common education before delivery and consulting team accepting education according their physiology and psychology from midwife. Finally, compare two teams by relative index. Result The result of the pregnants'' delivery method has obvious difference, and has meaning in statistics. Conclusion So we can draw the conclusion of the research that an outpatient of midwife has obvious influence in choosing delivery method. In a word, the proportion of caesarean section can be reduced dramatically through a midwife''s education. By the way, pregnant will feel less pain and need less time to recover health.
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主管单位：上海市卫生健康委员会   主办单位：上海市护理学会  出版：《上海护理》编辑部
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