冥想训练在减轻产妇分娩期疼痛中的应用效果

Application effect of meditation training in alleviating maternal delivery pain

目的探讨应用冥想训练减轻产妇分娩期疼痛的临床效果。方法将538例产妇分为试验组和对照组,各269例。试验组自孕37周开始每周接受冥想训练指导1次,入院后2~3次,产妇进入产程后由助产士指导产妇进行冥想训练来镇痛。对照组采用传统的孕检及分娩方式。观察两组产妇的焦虑情绪、疼痛程度、产程时间、分娩方式、产后出血和新生儿窒息情况。结果试验组产妇SAS评分为(34.58±2.46)分,显著低于对照组(46.89±2.31)分(P<0.05)。分娩过程中,试验组重度疼痛者占比显著低于对照组,第一产程、第二产程及总产程均短于对照组(P<0.05)。试验组的自然分娩率明显高于对照组,剖宫产率明显低于对照组(P<0.01)。两组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。结论冥想训练能减轻产妇分娩期焦虑情绪、疼痛程度,减少产后出血和新生儿窒息的发生,缩短产程,对自然分娩有积极的意义。

Objective To explore the clinical effect of meditation training in relieving maternal delivery pain. Methods A total of 538 maternal were divided into experimental group and control group, with 269 cases in each group. The experimental group received meditation training once a week from 37 weeks of pregnancy, and 2 ~3 times after admission. After the maternal entered the stage of labor, the midwife instructed them to perform meditation training to relieve pain. The control group received the traditional pregnancy test and delivery methods. The anxiety, pain, labor time and mode of delivery,postpartum hemorrhage of maternal and neonatal asphyxia. Results The SAS score of maternal in the experimental group was（34.58±2.46）, which was significantly lower than（46.89±2.31） of the control group（P〈0.05）. During the delivery process, the proportion of severe pain in the experimental group was significantly lower than that in the control group, and the first stage of labor, the second stage of labor and the total stage of labor were shorter than those of the control group（P〈0.05）. The natural delivery rate of the experimental group was significantly higher than that of the control group, and the cesarean section rate was significantly lower than that of the control group（P〈0.01）. There was no significant difference in Apgar scores of newborn between the two groups（P〈0.05）. Conclusion Meditation training can reduce maternal delivery anxiety emotion, pain degress, reduce postpartum hemorrhage and neonatal asphyxia, shorten labor stage, which have positive significance in natural delivery.