摘要目的:分析连续个性化助产模式对初产妇产程进展和母婴结局的影响。方法:选取2020年7月至2022年3月于复旦大学附属妇产科医院分娩的初产妇104例，根据助产模式不同分为对照组51例(传统助产模式)和试验组53例(连续个性化助产模式)。对比两组产程时间、疼痛数字评分法(Numerical Rating Scale，NRS)、焦虑自评量表(Self-rating Anxiety Scale，SAS)、抑郁自评量表(Self-rating Depression Scale，SDS)及并发症发生情况。结果:试验组第一产程、第二产程、总产程时间均低于对照组，差异均有统计学意义(均 P<0.05)。随着产后时间增加，两组NRS评分均显著下降，且观察组产后2 h、12 h、24 h NRS评分低于对照组，差异均有统计学意义(均 P<0.05)。两组干预后SAS、SDS评分均下降，且试验组低于对照组，差异均有统计学意义(均 P<0.05)。试验组自然分娩率高于对照组，而难产率、新生儿窒息率、产后出血率均低于对照组，差异均有统计学意义(均 P<0.05)。 结论:应用连续个性化助产模式可有效改善初产妇心理状况，降低疼痛感，缩短产程时间，且保证母婴安全。

abstractsObjective:To analyze the effect of continuous individualized midwifery model on the progress of labor and maternal and infant outcomes.Methods:A total of 104 primiparas who delivered in Obstetrics and Gynecology Hospital of Fudan University from July 2020 to March 2022 were selected and divided into control group with 51 cases(adopted traditional midwifery mode) and experimental group with 53 cases (adopted continuous personalized midwifery mode) according to different midwifery modes.The duration of labor, Numerical Rating Scale(NRS), Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS) and complications were compared between the two groups.Results:The first stage of labor, the second stage of labor and the total labor time of the experimental group were lower than those of the control group, and the differences were statistically significant( P<0.05).With the increase of postpartum time, the NRS scores of the two groups decreased significantly, and the NRS scores of the observation group at 2 hours, 12 hours and 24 hours after delivery were lower than those of the control group, and the differences were statistically significant( P<0.05).After intervention, the SAS and SDS scores of the two groups decreased, and the SAS and SDS scores of the experimental group were lower than those of the control group, and the differences were statistically significant( P<0.05).The natural delivery rate of the experimental group was higher than that of the control group, but the dystocia rate, neonatal asphyxia rate and postpartum hemorrhage rate were lower than those of the control group, and the differences were statistically significant( P<0.05). Conclusions:The application of continuous personalized midwifery model can effectively improve the psychological condition of primipara, reduce the pain, shorten the labor time, and ensure the safety of mother and infant.