产程中应用球分娩对初产妇丈夫陪产体验的影响

Effect of birth ball during delivery process on paternity experience of primiparae’s husbands

目的探讨产程中应用球分娩对初产妇丈夫的陪产体验影响。方法采用前瞻性的研究方法,选取2017年6月至9月在本院住院,足月单胎头位,无手术指征无球分娩禁忌证、丈夫首次全程陪伴分娩,临产后主动要求使用分娩球的初产妇300例为观察组,选取同期相同条件没有使用分娩球的孕妇300例作为对照组。两组均实行“一对一”责任制助产和免费家属全程陪产,两组均在产妇分娩后2h内转出产房前向产妇丈夫发放自行设计的一般资料问卷及准爸爸陪产体验问卷,由产妇配偶自行填写,填写完毕当场收回。观察比较两组陪产配偶陪产体验得分。结果观察组的自身感受、对妻子感受两项得分均优于对照组(均P<0.05);对新生儿感受、对工作人员和环境的体验得分稍高于对照组,但两组比较差异无统计学意义。结论产程中应用球分娩能有效增强初产妇丈夫的陪产正性体验,降低了初产妇丈夫的消极体验,符合产妇及家属的需求,值得在临床上推广应用。

Objective To explore the effect of birth ball during delivery process on paternity experience of primiparae’s husbands. Methods The prospective research method was used., 300 singleton primiparae with head delivery having no operation indications and no birth ball contraindications, having their husbands accompanying them during the whole labor, and asking for using birth ball when their labor got near, and who were hospitalized at our hospital from June to September, 2017, were selected as an observation group. And 300 primiparae with the same conditions but not using birth ball were selected from the same period as a control group. These two groups took one to one responsibility midwifery, and their family members accompanied them during the whole labor without charge. The women were transferred out from the delivery room and within two hours after delivery, the husbands were asked to fill the self-designed regular information questionnaire form and the expectant father paternity experience question form and handed them in immediately. The results were observed and compared. Results The scores of self-perception and the impression on their wives and newborns were much better in the observation group than in the control group (both P < 0.05). The scores of neonate experience and the experience on staff and environment were higher in the observation group than in the control group, but with no statistical differences. Conclusion Birth ball in delivery process is able to enhance the paternity experience of primiparae’s husbands, and meets the women and family members’ need. It is very valuable for clinic generalization and application.