【摘要】目的：研究无痛分娩和导乐分娩对初产妇产程、分娩方式及妊娠结局的影响。方法：以我院2022年1月—2022年12月收治的90例初产妇为研究对象，依照随机抽签法将初产妇划分为两组，各45例，对照组实施常规分娩，观察组实施无痛分娩和导乐分娩，比较两组初产妇的产程、分娩方式及妊娠结局。结果：①观察组第一产程、第二产程、第三产程以及总产程均短于对照组(P<0.05)；②观察组剖宫产率明显低于对照组(6.67%VS22.22%)，差异显著(P<0.05)；③观察组胎儿窘迫等不良妊娠结局发生率明显低于对照组(2.22%VS15.56%)，差异显著(P<0.05)。结论：无痛分娩与导乐分娩相结合，可缩短初产妇的产程，改善其分娩方式与妊娠结局，临床效果显著。

    【关键词】无痛分娩；导乐分娩；初产妇；分娩方式；产程；妊娠结局

    The effect of painless labor combined with doula labor on the labor process，delivery mode and pregnancy outcome of primipara

    SHANG Liqiong

    Baiyin First People’s Hospital of Gansu， Baiyin， Gansu 730900， China

    【Abstract】Objective：To study the effects okzgLuCWBFKkFm95qwvya/1e7PGi9uYdVAqVjMLgfRtA=f painless delivery and doula delivery on the labor process，delivery mode and pregnancy outcome of primipara.Methods：90 cases of primiparas admitted to our hospital from January 2022 to December 2022 were selected as the research subjects，and the primiparous women were divided into two groups according to the random drawing method ......