摘要
目的 分析无痛分娩初产妇用自由体位和导乐法助产的作用。方法 随机均分2024年1月-2025年6月本院接诊无痛分娩初产妇（N=70）。试验组分娩时采取自由体位和导乐法助产，对照组采取导乐法助产。对比产程时间等指标。结果 第一和第二产程时间：试验组（681.47±68.25）min、（71.94±12.51）min，对照组（724.79±70.14）min、（83.06±13.19）min，差异显著（P＜0.05）。各组第三产程时间相比无显著差异（P＞0.05）。自然分娩成功率及剖宫产率据：试验组100.0%、0.0%，对照组88.57%、11.43%，P＜0.05。结论 无痛分娩初产妇用自由体位和导乐法助产，产程时间显著缩短，自然分娩成功率也更高，剖宫产率更低。
关键词： 无痛分娩；自由体位；产程时间；导乐法助产
Abstract
Objective To analyze the effect of free body position and Doula in the midwifery of primipara with painless delivery. Methods the primiparas who received painless delivery in our hospital from January 2024 to June 2025 were randomly divided into two groups (n=70). The experimental group was given free position and Doula midwifery, while the control group was given doula midwifery. The labor process time and other indicators were compared. Results the first and second stage of labor time: the experimental group (681.47 ± 68.25) min, (71.94 ± 12.51) min, the control group (724.79 ± 70.14) min, (83.06 ± 13.19) min, the difference was significant (P<0.05). There was no significant difference in the third stage of labor among the groups (P>0.05). The success rate of natural childbirth and cesarean section rate were 100.0% and 0.0% in the experimental group, 88.57% and 11.43% in the control group, P<0.05 Conclusion the use of free position and Doula method in the delivery of primipara with painless childbirth can significantly shorten the time of labor, have a higher success rate of natural childbirth, and have a lower cesarean section rate.
Key words： Painless delivery; Free position; Labor time; Doula midwifery
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