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目的：探讨由有分娩经验的助产士陪伴孕妇分娩——Ｄｏｕｌａ式分娩，对提高产时保健质量的效果。方法：对４６例初产妇（观察组）采用Ｄｏｕｌａ式分娩的临床观察，并与同期进入活跃期后仅有家属陪伴的初产妇３３６例（对照组）比较。结果：观察组剖宫产率６．５％，对照组２０．８％，两组比较差异有显著性（Ｐ＜０．０５）；总产程与产后出血量，观察组也明显降低（Ｐ＜０．０５）。结论：应用Ｄｏｕｌａ式分娩，降低了剖宫产率、缩短了产程，并减少了产后出血，是提高产时保健质量的有效措施
OBJECTIVES: To investigate the effect of childbirth with Doula-type childbirth by a midwife with childbirth experience to improve the quality of childbirth during delivery. Methods: Forty-six cases of primipara (observation group) were observed by Doula mode of delivery and compared with 336 cases of primiparae who were only accompanied by their families during the same period (control group). Results: The rate of cesarean section was 6.5% in the observation group and 20.8% in the control group, with significant difference between the two groups (P <0.05). The total labor and the amount of postpartum hemorrhage were significantly lower in the observation group (P < 0.05). CONCLUSIONS: Doula-style delivery reduces the rate of cesarean section, shortens the course of labor, and reduces postpartum hemorrhage, which is an effective measure to improve quality of care during delivery