分娩球配合自由体位助产对初产妇疼痛程度、焦虑水平、分娩控制感及分娩结局的影响

Effects of delivery ball and free body position on pain,anxiety,delivery control and delivery outcome of primipara

目的:探讨分娩球配合自由体位助产对初产妇疼痛程度、焦虑水平、分娩控制感及分娩结局的影响。方法:选取本院产科在2016年3月至2017年3月收治的90例初产妇作为研究对象。选择简单随机化分组方法,随机分为观察组45例和对照组45例。对照组产妇采取传统卧位,或半卧位进行生产。观察组给予分娩球配合自由体位助产。观察两组产妇的疼痛程度、焦虑水平、分娩控制感及分娩结局。结果:观察组产妇的疼痛程度和焦虑水平明显低于对照组(P <0.05),分娩控制感评分优于对照组(P <0.05)。观察组经分娩球配合自由体位助产的分娩方式后,阴道分娩40例(93.2%),剖宫产5例(7.8%);对照组20例(53.6%),剖宫产25例(46.4%),说明分娩方式、产后出血量情况明显优于对照组。所有的对比均存在差异,具有统计学意义。结论:分娩球配合自由体位助产对初产妇能够有效降低其疼痛程度,减少产妇的焦虑,大大减短产程,有助于改善分娩结局,是一种理想的生产方式。

Objective：To investigate the effect of delivery ball combined with free body position on the pain level, anxiety level, delivery control and delivery outcome of primipara. Methods： 90 primipara admitted to our hospital from March 2016 to March 2017 were selected as the research object. A simple randomized grouping method was selected and randomly divided into observation group （45 cases） and control group （45 cases）. The control group adopted the traditional lying position or the semi lying position to give birth. The observation group was given delivery ball and assisted by free body position. The pain level, anxiety level, delivery control feeling and delivery outcome of ＂the ＂two groups of parturients were observed. Results： The level of pain and anxiety in the observation group was significantly lower than that in the control group （ all P 〈 0. 05）, and the score of delivery control was better than that in the control group （P 〈 0. 05 ）. The observation group had 40 cases （93.2%） of vaginal delivery and 5 cases （7.8%） of cesarean section after the delivery method of delivery ball and free body position delivery. 20 cases （53. 6%） in the control group and 25 cases （46.4%） in the cesarean section showed that the delivery method and postpartum hemorrhage were obviously better than those in the control group. All the comparisons were different and had statistical significance. Conclusion： The combination of delivery ball and free body position delivery can effectively reduce the pain level of primipara, reduce the anxiety of primipara, greatly reduce the labor process, help to improve the delivery outcome, and is an ideal mode of delivery. It is worthy of wide clinical application.