分娩球和自由体位助产护理在初产妇中的应用效果观察

Observation on the Effect of Delivery Balls and Free Position Labor Assistance Care in Primigravida

目的:分析分娩球和自由体位助产护理在初产妇中的应用效果。方法:选取2021年6月-2022年5月青岛市城阳区人民医院收治的初产妇200例为观察对象,根据随机数字表法分为对照组与观察组,各100例。对照组给予常规分娩助产护理,观察组给予分娩球联合自由体位助产护理,比较两组各产程时间、分娩方式、分娩结局、并发症发生率。结果:研究组第一产程、第二产程、第三产程、总产程时间短于对照组,差异有统计学意义(P<0.05);研究组自然分娩率高于对照组,引导助产率、剖宫产率低于对照组,差异有统计学意义(P<0.05);研究组产后出血量低于对照组,新生儿产后1 min Apgar评分高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:对初产妇分娩期间开展分娩球和自由体位助产护理可以促进快速结束产程,提升自然分娩成功率,保证母婴生命安全,保证分娩安全性。

Objective:To analyze the effect of delivery ball and free position labor assistance care in primigravida.Methods:200 cases of primiparous women admitted to Qingdao Chengyang District People's Hospital from June 2021 to May 2022 were selected as observation subjects and divided into control group and observation group according to the random number table method,100 cases each.The control group was given conventional labor assistance care,and the observation group was given delivery ball combined with free position labor assistance care.The time of each stage of labor,mode of delivery,delivery outcome,and complication rate were compared between the two groups.Results:The first stage of labor,the second stage of labor,the third stage of labor,and the total duration of labor in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The rate of spontaneous delivery in the observation group was higher than that in the control group,and the rates of guided assisted delivery and cesarean section were lower than those in the control group,with statistically significant differences(P<0.05).The postpartum bleeding in the observation group was lower than that in the control group,and the neonatal Apgar score at 1 min after delivery was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of delivery ball and free position labor assistance care during labor in primiparous women can promote the rapid end of labor,improve the success rate of natural delivery,ensure the life safety of mother and baby,and ensure the safety of delivery.