导乐分娩镇痛联合全程陪伴无痛分娩在高龄产妇中的应用效果

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Abstract Objective To discuss the application effect of Doula labor analgesia with full-time accompanying painless delivery in elderly parturients.Methods All 316 elderly women in Guangzhou Panyu Shiqiao Hospital and Guangdong Maternal and Child Health Hospital from December 2017 to October 2018 were selected as research objects, they were divided into group A and group B according to random number table method,158 cases in each group.Group A were given birth in a traditional way without any pain or companionship, group B were given Doula labor analgesia combine with full-time accompanying painless delivery.The time of labor, analgesic effect, anxiety state, postpartum hemorrhage,mode of delivery and neonatal status were compared between two groups.Results The time of the first and second labor and the total duration of labor in group B were shorter than those in group A, the differences were statistically significant (P<0.05), but the difference of the third delivery time of the two groups was not statistically significant(P＞0.05).The visual analogue scale (VAS), self-rating anxiety scale (SAS) scores of group B were lower than those of group A, and postpartum hemorrhage was less than that of group A, the differences were statistically significant (P<0.05).The natural delivery rate of group B was higher than that of group A,the difference was statistically significant(P<0.05).The difference between the two groups in neonatal asphyxia and newborn Apgar′s score were not statistically significant (P＞0.05).Conclusion Doula labor analgesia+full-time accompanying painless delivery can significantly improve the analgesic effect and anxiety state, reduce postpartum hemorrhage, shorten the labor time and improve the natural delivery rate.

Key words： Elderly parturient Full-time accompanying painless delivery Doula labor analgesia Analgesic effect Anxiety state

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	Articles by authors
	RU Xue-mei
	WANG Xiao-qin
	ZHANG Xu
	CHEN Wen-fen
	TANG Yan-fen
	LIANG Zhi-hong

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RU Xue-mei,WANG Xiao-qin,ZHANG Xu, et al. Application effect of Doula labor analgesia with full-time accompanying painless delivery in elderly parturients[J]. 中国当代医药, 2020, 27(12): 97-99.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I12/97

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