分娩球联合自由体位助产对初产妇母婴分娩的影响

The Effect of Delivery Ball Combined with Free Body Position on Delivery of Primiparous Mothers and Infants

目的探讨分娩球联合自由体位助产对初产妇产痛、母婴结局及分娩控制感的影响。方法选取2018年1月—2019年12月在该院分娩的初产妇180名,随机分为对照组和观察组,每组90名,对照组采用常规卧位分娩,观察组采用分娩球联合自由体位助产,比较两组产妇产痛、分娩控制感及母婴结局的差异。结果观察组产妇VAS评分(3.18±0.53)分、剖宫产率14.44%、总产程(296.35±62.18)min及产后2 h出血量(175.26±15.18)mL,明显低于对照组(7.69±0.74)分、30.00%、(428.14±73.52)min、(241.52±18.31)mL,差异有统计学意义(t=47.006,χ^(2)=6.300,t=12.985、26.491,P<0.05),分娩控制感评分(191.36±4.85)分明显高于对照组(126.17±9.42)分,差异有统计学意义(t=58.370,P<0.05)。结论分娩球联合自由体位助产能有效缩短初产妇产程时间,减轻产痛,提高分娩控制感,改善母婴结局。

Objective To investigate the effect of delivery ball combined with free position assisted delivery on primipara's labor pain,maternal and infant outcome,and sense of control of delivery.Methods A total of 180 primiparas who gave birth in the hospital from January 2018 to December 2019 were selected and randomly divided into a control group and an observation group,with 90 cases in each group.The control group was delivered in a conventional lying position,and the observation group was delivered with a delivery ball combined with freedom.Compare the differences in labor pain,childbirth control and maternal and infant outcomes between the two groups.Results The observation group's maternal VAS score(3.18±0.53)points,cesarean section rate 14.44%,total labor(296.35±62.18)min and postpartum bleeding(175.26±15.18)mL were significantly lower than those of the control group(7.69±0.74)points,30.00%,(428.14±73.52)min,(241.52±18.31)mL,the difference was statistically significant(t=47.006,χ^(2)=6.300,t=12.985,26.491,P<0.05),the childbirth control score(191.36±4.85)points was significantly higher than that of the control group(126.17±9.42)points,and the difference was statistically significant(t=58.370,P<0.05).Conclusion The delivery ball combined with free body position can effectively shorten the labor time of primiparas,relieve labor pain,increase the feeling of labor control,and improve the maternal and infant outcome.