【摘要】 目的 调查第二产程直立位分娩实践方案实施后的助产服务现状，预测助产士需求量，对方案进行应用性评价。方法 采用分娩率加权法问卷回顾性收集实施第二产程直立位分娩实践方案的1所医院的273例产妇资料，根据分娩率加权法计算公式预测医院助产士需求量。结果 助产服务类型Ⅰ/Ⅱ产妇99例(36.26%),类型Ⅲ产妇112例(41.03%),类型Ⅳ产妇58例(21.25%),类型Ⅴ产妇4例(1.46%);各类型产妇助产服务时长分别为5.42(3.58,9.83) h, 8.54(5.85,13.65) h, 7.46(4.75,12.62) h, 9.75(7.25,13.90) h,直立位与仰卧位分娩产妇各类型助产服务时长比较，差异无统计学意义(均P>0.05)。结论 实施第二产程直立位分娩实践方案不会增加现有助产士人力资源负担。助产士管理者可以根据预测结果合理调配助产人力资源并灵活调整助产士工作，加强学习、培训，提供更优质的助产服务。更多还原

【Abstract】 Objective To investigate the current status of midwifery services in hospital implementing the Practice Programme for Upright Position in the Second Stage of Labour(UPSSL), to predict the demand for midwives and evaluate the applicability of the UPSSL. Methods A retrospective collection of 273 maternal cases from a hospital implementing the UPSSL was conducted using the birthrate plus workforce planning methodology questionnaire. The demand for midwives in the hospital was predicted based on the calculation formula of the birthrate plus workforce planning methodology. Results The study identified 99 cases(36.26%) in category Ⅰ/Ⅱ puerperal classification, 112 cases(41.03%) in category Ⅲ, 58 cases(21.25%) in category Ⅳ, and 4 cases(1.46%) in category Ⅴ. The midwifery service hours for each category were 5.42(3.58,9.83) h, 8.54(5.85, 13.65) h, 7.46(4.75, 12.62) h, and 9.75(7.25, 13.90) h, respectively. There was no statistically significant difference in the midwifery services hours between upright and supine position childbirth for each category of maternal service(all P>0.05). Conclusion The implementation of the UPSSL does not increase the existing burden on midwifery human resources. Midwifery managers can reasonably allocate midwifery human resources and flexibly adjust midwives′ work based on the predicted results, strengthen learning and training, and provide higher quality midwifery services.更多还原