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| Effects of the one-to-one doula accompaniment during cesarean section for women on the maternal emotion and pain and their neonatal status |
| Jiaxing Maternity and Child Health Care Hospital, Jiaxing, Zhejiang Province, 314000 |
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Abstract To explore the effects of the one-to-one doula accompaniment during cesarean section for women on the maternal tension and pain and their neonatal status. Methods: 100 pregnant women who wanted the scheduled cesarean section in the hospital were selected and were divided into two groups (50 cases in each group) by the personal willingness of the women from June 2022 to December 2022. The women in the control group were given the usual care with a midwifery approach, and the women in the observation group were given the full course of one-to-one doula accompaniment care. The intraoperative sedatives used, the maternal bodily pain perception, the maternal tension, and the neonatal Apgar scores and body temperature of the women were compared between the two groups. Results: The number of the intraoperative drugs additional used (0.82±0.39 times) and the postpartum VAS score (4.90±1.15 points) of the women in the observation group were significantly less than those (1.06±times and 5.76±1.14 points) of the women in the control group. The rate of the decreased anxious degree (96.0%) of the women in the observation group was significantly higher than that (62.0%) of the women in the control group (all P<0.05). There were no significant differences in neonatal Apgar score (9.14±0.73 points vs. 8.96±0.86 points), the neonatal body temperature at 30 minutes after delivery (36.53±0.23℃ vs. 36.37±0.28℃) and the incidence of the neonatal hypothermia at 30 minutes after delivery (1 case in the observation group and 3 cases in the control group) between the two groups (P>0.05). Conclusion: The one-to-one doula accompanying the whole process for the women during cesarean section can promote their labor and postpartum recovery, can relieve the maternal pain and regulate the maternal tension, and which is benefit to reduce the incidence of the neonatal hypothermia.
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