导乐分娩对不同年龄段初产妇产程、妊娠结局及新生儿评分的影响

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Abstract Objective To investigate the influence of Doula delivery on the the stages of labor, pregnancy outcomes in primiparas and neonatal scores at different ages. Methods A total of 90 primiparas awaiting delivery who were admitted to our hospital from September 2018 to September 2019 were selected. They were divided into the control group (n=45)and the observation group (n=45) according to the random number table method. In the control group, 15 cases were under 25 years old, 15 cases were 25-＜30 years old, and 15 cases were over 30 years old. In the observation group, 15 cases were under 25 years old, 15 cases were 25-＜30 years old, and 15 cases were over 30 years old. The control group was given conventional delivery mode, and the observation group was given Doula delivery mode. The stages of labor in primiparas at different ages, degree of labor pain (visual analogue scale [VAS] score), the mode of delivery,pregnancy outcomes and the neonatal score were compared between the two groups. Results The stages of labor in primiparas, VAS score, and cesarean section rate in the observation group were all lower than those in the control group, the Apgar score of the neonates after delivery in the observation group was higher than that in the control group,and the differences were statistically significant (P＜0.05). The incidence of adverse pregnancy outcomes at sections of ＜25 years old and ≥30 years old in the observation group were lower than those in the control group, with statistical difference (P＜0.05). There was no significant difference in the incidence of adverse pregnancy outcomes between the two groups of primiparas aged 25-＜30 years old (P＞0.05). The stages of labor and the VAS scores of primiparas aged 25-＜30 years old were lower than those of ＜25 years old and ≥30 years old between the two groups, the Apgar scores of newborns of primiparas aged 25-＜30 years old were higher than those of ＜25 years old and ≥30 years old between the two groups, and the labor process of primiparas aged ≥30 years was lower than that of ＜25 years old between the two groups, the differences were statistically significant (P＜0.05). There was no significant difference in the VAS score and neonatal Apgar score between ＜25 years old and ≥30 years old in the two groups (P＞0.05). There was no significant difference in the incidence of adverse pregnancy outcomes in primiparas at different ages between the two groups (P＞0.05). Conclusion The implementation of Doula delivery has a certain effect on the delivery of primiparas of different ages, which can effectively reduce the adverse pregnancy outcomes, increase the natural delivery rate,and ensure the safety of mothers and infants.

Key words： Doula delivery Primipara Pregnancy outcome Neonatal score

Received: 14 April 2020

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