正念冥想联合拉玛泽呼吸法对产妇第一产程分娩恐惧的影响

Effect of mindfulness meditation combined with Lamaze breathing method on maternal fear of delivery in the first stage of labor

目的探讨正念冥想联合拉玛泽呼吸法对产妇第一产程分娩恐惧的干预效果。方法选取2020年5月—2021年5月97例孕妇作为研究对象,按照组间基本特征匹配原则分为观察组50例和对照组47例。观察组采用正念冥想联合拉玛泽呼吸法,对照组采用拉玛泽呼吸法对产妇第一产程进行干预,采用中文版分娩恐惧量表(CAQ)评价两组产妇分娩恐惧程度,使用焦虑量表(SAS)评价两组产妇焦虑水平并比较两组产妇分娩疼痛及分娩结局的差异。结果观察组干预后分娩恐惧评分、焦虑评分及疼痛评分均低于对照组,差异具有统计学意义(P<0.05);观察组总产程及第一产程时长小于对照组,组间比较差异有统计意义(P<0.05)。两组产妇会阴情况、产后出血量及新生儿Apgar评分比较,差异均无统计学意义(P>0.05)。结论正念冥想联合拉玛泽呼吸法有效缓解产妇第一产程恐惧与焦虑,提高产妇对疼痛的耐受性,缩短第一产程,促进自然分娩。

Objective To explore the effect of mindfulness meditation and Lamaze breathing on maternal fear in the first stage of labor.Methods A total of 97 pregnant women from May 2020 to May 2021 were selected as research subjects,50 cases were divided into in observation group and 47 cases in control group according to the principle of matching basic characteristics between groups.Observation group using mindfulness meditation combined Lamarze breathing method,the control group using Lamarze breathing method of maternal first labor intervention,using the Chinese version of Childbirth Attitude Questionnaire(CAQ)to evaluate the two groups of maternal delivery fear,taking Self-rating Anxiety Scale(SAS)to evaluate the two groups of maternal anxiety level and compare the two groups of maternal pain and childbirth outcomes.Results The delivery fear score,anxiety score and pain score were lower than the control group,the difference was statistically significant(P<0.05);the total and first stages of labor in the observation group were less than the control group,the difference was statistically significant(P<0.05).There was no significant difference between maternal perineum,postpartum blood loss and neonatal Apgar score between the two groups(P>0.05).Conclusion Mindfulness meditation combined with Lamaze breathing method could effectively alleviate maternal fear and anxiety in the first stage of labor,improve maternal tolerance to pain,shorten the first stage of labor,and promote natural delivery.