分娩镇痛联合自由体位对初产妇分娩过程中负性情绪及分娩结局的影响

Effects of Labor Analgesia Combined with Free Postures on Negative Emotions and Labor Outcomes in Primipara Childbirth

目的近年临床妇产科在产妇分娩过程中多将分娩镇痛与自由体位两者联合使用,认为此方式对产妇分娩结局和分娩中负性情绪有改善效果,但目前医学界对此观点存在较大争议,现本研究重点讨论分娩镇痛联合自由体位对初产妇分娩过程中负性情绪及分娩结局的影响。方法回顾分析东莞市中西医结合医院2019年3月至2020年9月期间收治的初产妇80例,按分娩干预方式分组,其中40例接受常规卧位待产方式干预(对照组),另40例接受分娩镇痛联合自由体位待产干预(观察组),比较产妇情绪状况、分娩结局等。结果观察组产妇满意度95%高于对照组60%,数据差异有统计学意义(P<0.05);比较两组产妇分娩过程中自身情绪状况,入组时组间SDS评分、SAS评分数据差异无统计学意义(P>0.05),分娩前、分娩后24h时,观察组SDS评分(44.35±2.32)分、(34.65±2.35)分、SAS评分(47.32±2.32)分、(35.32±1.21)分均低于对照组SDS评分(65.38±2.35)分、(63.59±2.30)分、SAS评分(65.35±2.35)分、(65.38±2.32)分,组间数据差异有统计学意义(P<0.05),观察组剖宫产率10%、会阴侧切率7.50%、产后出血率2.50%分别低于对照组30%、37.50%、25%,组间数据差异有统计学意义(P<0.05)。结论初产妇分娩过程中加以分娩镇痛联合自由体位待产,可显著缓解产妇负性情绪,提升分娩满意度,改善分娩结局。

Objective In recent years,clinical obstetrics and gynecology in the process of puerpera childbirth will be more labor analgesia with free position both combined,think this way to end the puerpera labors and childbirth in the negative emotion has improved effect,but at present the medical profession to this point there is a big controversy,this study focuses on labor analgesia combined free position now in the process of first-time mothers give birth the influence of negative emotions and birth outcomes.Methods Retrospective analysis of Dongguan Hospital of Integrated Traditional Chinese and Western Medicine during March 2019 to September 2020 were primipara 80 cases,according to the delivery means of intervention group,40 patients who underwent conventional recumbent position to give way intervention(control group),another 40 cases accepted labor analgesia combined to give free position intervention(observation group),to compare maternal emotional state,childbirth,ending,etc.Results The maternal satisfaction in the observation group was 95%higher than that in the control group(60%),and the difference was statistically significant(P<0.05).There was no significant difference in SDS score and SAS score between the two groups when the two groups were enrolled(P>0.05).SDS score(44.35±2.32),SAS score(34.65±2.35),SAS score(47.32±2.32)and SAS score(35.32±1.21)in the observation group were all lower than those in the control group(65.38±2.35),SAS score(63.59±2.30),SAS score(65.35±2.35)and SAS score(65.38±2.32),and the difference was statistically significant(P<0.05).The cesarean section rate of 10%,lateral perineal section rate of 7.50%and postpartum bleeding rate of 2.50%in the observation group were lower than 30%,37.50%and 25%in the control group,respectively,with statistical significance(P<0.05).Conclusion Labor analgesia combined with free position in the process of delivery can significantly alleviate maternal negative emotions,improve labor satisfaction,and improve the outcome of labor.