中国实用妇科与产科杂志2001，Vol.17Issue(2)：99-101,3.
导乐陪伴分娩对剖宫产率影响的临床研究
Clinical study of influence of Doula delivery on cesarean section morbidity
王萍 1刘建华2
作者信息
- 1. 江苏昆山市第一人民医院
- 2. 上海第二医科大学附属第九人民医院
- 折叠
摘要
Abstract
Objective To discuss the influence of Doula delivery and non -Doula delivery on cesarean section(CS)morbidity. Methods 796 cases with Doula delivery and 800 cases with non-Doula delivery were compared in CS morbidity, CS causes, dystocia morbidity in vaginal delivery and neonatal distress. Results The main causes of CS in both groups were fetal distress, fetal malposition and cephalopelvic disproportion and uterine inertia (problems of"power"), The CS morbidity in Doula delivery group(24.37%) was significantly lower than that in non-Doula group(38.25%) (P<0.01). In Doula delivery, CS due to uterine inertia was significantly less than that in non-Doula delivery (P<0.05). However, CS rate due to fetal distress was higher in the former group (P<0.05). In the vaginal delivery cases of the two groups, dystocia morbidity in Doula delivery group(6.00%) was statistically lower than that in non-Doula delivery group(9.72%) (P<0.05). The rates of neonatal distress in the two groups were not significantly different (P>0.05). Conclusion Doula delivery can decrease the CS morbidity without increasing the rate of neonatal distress. Therefore, Doula delivery is worth administering in clinical practice.关键词
导乐陪伴分娩剖宫产难产经阴道分娩新生儿窒息分类
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王萍,刘建华..导乐陪伴分娩对剖宫产率影响的临床研究[J].中国实用妇科与产科杂志,2001,17(2):99-101,3.
