Comparative analysis of the differences in the effectiveness of using the "midwife led analgesia delivery management style" and the "routine nursing mode" in obstetric nursing
对比分析在产科护理中采用“助产士主导镇痛分娩管理式”和“常规护理模式”的效果差异

摘要

目的 分析助产士主导的镇痛分娩管理模式应用对产科初产妇分娩镇痛、分娩方式影响。方法 以2025年1月-2025年5月期间入院分娩初产妇66例为研究对象，行对比性临床研究，产妇入院后取随机数字表法分组，予以对照组（33例）常规分娩护理，予以研究组（33例）助产士主导的镇痛分娩管理。比较不同护理模式下初产妇产程时间，产程内疼痛评分（NRS），分娩方式，围产期指标及不良妊娠结局发生率差异。结果 较对照组，研究组第一、第二产程，总产程时间及产程内NRS评分均降低，差异有统计学意义（P＜0.05）。较对照组，研究组阴道分娩占比升高，不良妊娠结局发生率及产后缩宫素应用率、产后2h出血量均降低，差异有统计学意义（P＜0.05）。结论 初产妇分娩期间应用助产士主导的镇痛分娩管理，可积极改善产妇产程内疼痛感受，经辅助缩短产程，提升阴道分娩成功率及妊娠结局质量，效果确切。

Abstract

Objective To analyze the impact of midwife led pain management mode on pain relief and delivery methods for primiparous women in obstetrics.
Methods A comparative clinical study was conducted on 66 primiparous women admitted for delivery between January 2025 and May 2025. After admission, the women were randomly divided into two groups using a random number table. The control group (33 cases) received routine delivery care, while the study group (33 cases) received pain relief delivery management led by midwives. Compare the differences in delivery time, intrapartum pain score (NRS), delivery mode, perinatal indicators, and incidence of adverse pregnancy outcomes among primiparous women under different nursing modes.
Results Compared with the control group, the study group showed a significant decrease in the first and second stages of labor, total labor time, and NRS score during labor (P<0.05). Compared with the control group, the proportion of vaginal delivery in the study group increased, and the incidence of adverse pregnancy outcomes, postpartum oxytocin application rate, and 2-hour postpartum bleeding were all reduced, with statistically significant differences (P<0.05).
Conclusion   The use of midwife led pain management during delivery in primiparous women can actively improve their pain perception during labor, shorten the labor process with assistance, improve the success rate of vaginal delivery and the quality of pregnancy outcomes, and have a definite effect.