分娩球配合自由体位助产作用于初产妇的临床体验

Role of Childbirth and Assisted Delivery in Free Delivery

目的分析初产妇分娩中分娩球配合自由体位助产取得的效果。方法选取该院2016年9月—2017年9月收治的初产妇74例,以数字随机分组形式,分对照组与观察组各37例,分别给予一般助产护理、分娩球配合自由体位助产方式,对比两组产妇心理状态、疼痛程度与分娩结果。结果焦虑评分结果、疼痛评分结果比较,SAS评分观察组与对照组分别为(41.50±3.55)分vs(52.56±2.86)分,组间比较差异有统计学意义(t=3.68,P<0.05),VAS评分观察组与对照组分别为(3.25±1.50)分vs(7.10±1.00)分,组间数据差异有统计学意义(t=1.67,P<0.05)。产后2 h出血量观察观察组(172.50±40.60)m L与对照组(224.45±32.80)m L比较差异有统计学意义(t=5.85,P<0.05),且产程时间观察,第一产程观察组与对照组分别为(450.55±80.50)min vs(512.40±69.40)min,比较差异有统计学意义(t=7.63,P<0.05),第二产程时间观察组与对照组分别为(32.50±10.00)min、(43.60±12.20)min与对照组比较差异有统计学意义(t=5.63,P<0.05)。结论初产妇分娩中,取分娩球配合自由体位助产方式,对帮助产妇缓解焦虑心理与疼痛感有积极作用,且可帮助改善分娩结局,应在临床实践中推广应用。

Objective To analyze the effect of assisting delivery of free-birth assisted delivery in the first parturient childbirth. Methods 74 primipara women admitted to the hospital from September 2016 to September 2017 were randomly divided into control group and observation group with 37 cases. They were given general midwifery care, delivery balls, and free body assistive delivery. Comparing the maternal psychological status, pain level and delivery results between the two groups. Results Compare the results of anxiety score and pain score, the scores of the SAS in the observation group and the control group were（41.50±3.55） points vs（52.56±2.86） points respectively. The difference between the two groups was statistically significant（t=3.68, P〈0.05）. The observation group and the control group were（3.25±1.50） points vs（7.10±1.00） points respectively. There was a statistically significant difference between the groups（t=1.67, P〈0.05）. The postpartum hemorrhage at 2 h was significantly different between the observation group（172.50 ±40.60）mL and the control group（224.45±32.80）mL（t=5.85, P〈0.05）. Observed at the time of labor, the first stage of the observation group and the control group were（450.55±80.50） min vs（512.40±69.40） min, the difference was significant（t=7.63, P〈0.05）. The observation time at the second stage of labor and the control group was（32.50 ±10.00）min vs（43.60±12.20）mm. The difference between min and control group was statistically significant（t=5.63, P〈0.05）. Conclusion In the parturients of primary birth, taking the delivery ball and assisting the free delivery method has a positive effect on helping the mother to relieve the anxiety and pain, and it can help improve the outcome of childbirth. It should be popularized and applied in clinical practice.