Application of three levels quality control in primipara with Doula delivery

Abstract

Objective To explore the application effect of three levels quality control in primipara with Doula delivery .Methods Totaled of 100 cases of primipara were divided into the observation group and the control group according to different nursing management , 50 cases in each group .The control group was used traditional nursing mode , and the observation group was given Doula delivery in three cy-cles of PDCA quality control management .Progress of birth , the outcome of childbirth , newborn outcome and nursing satisfaction were com-pared between the two groups .Results The time of the first stage , the second stage of labor time , total labor time in the observation group were significantly shorter than those in the control group , the vaginal delivery rate was significantly higher than that in control group , the a-mount of postpartum hemorrhage was significantly less than that in the control group with statistical significance （ P〈0.05 ） .The rate of neo-natal asphyxia in the observation group was significantly lower than that in the control group , the scores of asphyxia were significantly higher than those in the control group with statistical significance （ P〈0.05 ） .Nursing satisfaction in the observation group was higher than that in the control group （ P〈0.05 ） .Conclusions PDCA three quality control can effectively improve the quality of Doula delivery and promote the progress of the production process of maternal , improve birth outcomes . Key words: Three level quality control; Primipara; Doula delivery; Delivery outcome