Abstract:

Objective To investigate the status quo of China’s doula delivery and analyze the reasons why it has not been carried out,so as to provide references for developing appropriate midwifery technology training and formulating relevant policies in the future.Methods From December 2017 to November 2018,a self-designed questionnaire was used to investigate the current situation of doula delivery in 1 213 secondary and above midwifery medical institutions in 22 provinces,municipalities or autonomous regions.Results Of the 1 213 hospitals,679（56.0%） of the hospitals carried out doula delivery,410（60.4%） started doula delivery when the mouth of the uterus opened to 3 cm,523（77.0%） continued doula delivery to the fourth stage of labor,hospital staff in 393（57.9%） hospitals mainly used working time to complete doula delivery,in 606（89.2%） hospitals midwives performed Doula delivery,433（63.8%） of the hospitals had doula instruments. The main reasons for not carrying out doula delivery were insufficient personnel,insufficient space and no fee could be charged.Conclusion The technology of doula delivery has not been widely popularized in China,and the development status is uneven. Doula delivery should be supported in human resources,space and economy.

Key words: Doulas, Midwifery Technology, Root Cause Analysis, Obstetrical Nursing

摘要：

目的 调查导乐陪伴分娩开展现状并分析未开展的原因,为今后开展助产适宜技术培训及制定相关政策提供参考依据。方法 2017年12月—2018年11月采用自行设计的“助产士人力资源及适宜技术应用现况”调查表,对全国22个省、直辖市、自治区,共1 213所二级及以上的助产医疗机构的导乐陪伴分娩开展现状进行调查。结果 1 213所医院中,开展导乐陪伴分娩的医院有679所（56.0%）,其中410所（60.4%）在孕妇宫口开至3 cm时开始进行导乐陪伴,523所（77.0%）将导乐陪伴持续至第四产程,393所（57.9%）的医院员工主要是利用上班时间完成导乐陪伴,606所（89.2%）由助产士来完成导乐陪伴,433所（63.8%）有导乐仪器;未开展导乐陪伴分娩的主要原因是人员不够、空间不足和不能收费。结论 导乐陪伴分娩技术还未得到广泛普及,开展状况参差不齐,应在人力资源、空间和经济上对开展导乐陪伴分娩提供支持。

关键词: 导乐, 助产适宜技术, 影响因素分析, 产科护理