分娩球联合自由体位助产对初产妇分娩的影响

The influence of birthing ball combined with free position midwifery on the delivery of primipara

目的分析分娩球联合自由体位助产对初产妇分娩的影响。方法选取40名初产妇,采用随机数字表法分为两组,每组20名。对照组采用传统分娩卧位,观察组采用分娩球联合自由体位。对比两组初产妇的产程及疼痛情况。结果观察组初产妇第一产程、第二产程、第三产程分别为(6.88±0.41)h、(0.82±0.23)h、(0.22±0.05)h;对照组初产妇第一产程、第二产程、第三产程分别为(11.40±0.84)h、(0.94±0.16)h、(0.24±0.03)h。观察组第一产程明显短于对照组,差异有统计学意义(P<0.05)。两组第二产程和第三产程比较,差异无统计学意义(P>0.05)。观察组1级疼痛占比明显高于对照组,差异有统计学意义(P<0.05)。结论初产妇采用分娩球联合自由体位助产,能够有效减轻初产妇分娩疼痛,且促进产程时间缩短,值得临床推广与应用。

Objective To analyze the effect of birthing ball combined with free position midwifery on the delivery of primipara.Methods 40 primipara were selected and divided into two groups with 20 in each group by random number table method.The control group adopted the traditional delivery position,and the observation group adopted the birthing ball combined free position.The labor process and pain of primipara were compared between the two groups.Results The first,second and third stages of labor were(6.88±0.41)h,(0.82±0.23)h and(0.22±0.05)h,respectively.The first,second and third stages of labor in the control group were(11.40±0.84)h,(0.94±0.16)h and(0.24±0.03)h,respectively.The first stage of labor in the observation group was significantly shorter than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the second and third stages of labor between the two groups(P>0.05).The proportion of grade 1 pain in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The use of birth ball combined with free position midwifery in primipara can effectively reduce labor pain and shorten labor time,which is worthy of clinical promotion and application.