分娩镇痛仪联合分娩球对初产自然分娩焦虑产妇分娩结局的影响

The Effect of Labor Analgesic Instrument and Labor Ball on the Result of Natural Delivery for Anxious Primipara

目的探讨在初产自然分娩焦虑产妇中联合应用分娩镇痛仪和分娩球对分娩结局的影响,旨在探寻对焦虑产妇提高自然分娩率的方法。方法 98例初产焦虑产妇按照数字随机原则分为两组:对照组和联合组,每组49例,对照组采用传统常规方法分娩,联合组在对照组基础上采用分娩球联合分娩镇痛仪配合自由体位分娩,分别在分娩前、出院时和出院后6周行焦虑自评量表(SAS)调查,比较两组产妇第一、二、三产程时间、产后出血量、新生儿Apgar评分和中转剖宫产率。结果联合组第一、二、三产程时间均明显短于对照组(P<0.05),联合组产后出血量明显少于对照组(P<0.05);在出院当天和产后6周时点联合组SAS评分明显低于对照组(P<0. 01)。结论对焦虑初产妇联合应用镇痛仪和分娩球可缩短产程,减少产后出血量,缓解产后焦虑状况。

Objective To explore the effect of labor analgesic instrument and labor ball on the result of natural delivery for anxious primipara to find ways to improve the natural delivery rate for anxious primipara.Methods 98 cases of anxious primipara were divided into two groups according to the principle of random numbers： control group and combination group,49 cases in each group. The control group used the traditional routine method for delivery,and the combination group used the labor analgesic instrument and labor ball with free position on the basis of the control group.The anxiety self-rating scale（ SAS） survey was conducted before delivery,at discharge,and 6 weeks after discharge.The first,second,and third stage of labor,postpartum hemorrhage,neonatal Apgar score,and transit cesarean delivery rate in the two groups were compared.Results The first,second and third stages of labor in the combination group were significantly shorter than those in the control group（ P〈0.05）.The postpartum hemorrhage in the combination group was significantly less than that in the control group（ P〈0.05）.The SAS scores in the combination group at discharge and 6 weeks after discharge were significantly lower than those in the control group（ P〈0. 01）.Conclusions The labor analgesic instrument and labor ball for anxious primipara can shorten the labor process,reduce postpartum hemorrhage,and relieve postpartum anxiety.