活跃期自由体位待产联合正念冥想放松减痛法对自然分娩初产妇产程、疼痛程度及分娩控制感的影响

Effect of Free Position for Labor in Active Period Combined with Mindfulness Meditation and Relaxation Pain Relief Method on Labor Process,Pain Degree and Sense of Labor Control in Primiparas with Natural Childbirth

目的研究活跃期自由体位待产联合正念冥想放松减痛法对自然分娩初产妇产程、疼痛程度及分娩控制感的影响。方法选取2021年6月-11月在我院自然分娩的200例初产妇为研究对象,采用随机数字表法分为对照组和观察组,各100例。对照组采用常规分娩法,观察组在对照组基础上给予活跃期自由体位待产联合正念冥想放松减痛法。比较产妇不同产程时间、疼痛分级、分娩控制感评分、新生儿Apgar评分、产后2 h出血量、分娩应激反应指标,以及不良妊娠结局发生率。结果观察组第一产程、第二产程均短于对照组(P<0.05),第三产程与对照组比较,差异无统计学意义(P>0.05);观察组疼痛度0级、Ⅰ级发生率均高于对照组,Ⅱ级、Ⅲ级发生率均低于对照组(P<0.05);观察组分娩控制感评分、新生儿Apgar评分均高于对照组,产后2 h出血量小于对照组(P<0.05);两组血清中肾上腺素(E)、去甲肾上腺素(NE)、醛固酮(ALD)水平均升高,但观察组均低于对照组(P<0.05);观察组不良妊娠结局发生率为3.00%,低于对照组的10.00%(P<0.05)。结论活跃期自由体位待产联合正念冥想放松减痛法可促进自然分娩初产妇产程进展,缩短第一产程、第二产程时间,减轻患者疼痛程度,提高分娩控制感,减少产后出血,提高新生儿Apgar评分,降低不良妊娠结局。

Objective To study the effect of free position labor in active period combined with mindfulness meditation and relaxation pain relief method on labor process,pain degree and sense of labor control in primiparas with natural childbirth.Methods A total of 200 primiparas who gave birth naturally in our hospital from June to November 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 100 primiparas in each group.The control group was given conventional delivery method,and the observation group was given active free position for labor combined with mindfulness meditation and relaxation pain reduction method on the basis of the control group.The duration of different stages of labor,pain grading,delivery control score,neonatal Apgar score,postpartum 2 h bleeding volume,delivery stress response indicators,and the incidence of adverse pregnancy outcomes were compared.Results The first stage of labor and the second stage of labor in the observation group were shorter than those in the control group(P<0.05),while there was no significant difference in the third stage of labor between the observation group and the control group(P>0.05).The incidence of pain grade 0 and gradeⅠin the observation group was higher than that in the control group,and the incidence of gradeⅡand gradeⅢwas lower than that in the control group(P<0.05).The scores of childbirth control and neonatal Apgar in the observation group were higher than those in the control group,and the amount of bleeding at 2 hours after delivery was less than that in the control group(P<0.05).The levels of adrenaline(E),norepinephrine(NE)and aldosterone(ALD)in serum of the two groups increased,but those in the observation group were lower than those in the control group(P<0.05).The incidence of adverse pregnancy outcomes in the observation group was 3.00%,which was lower than 10.00%in the control group(P<0.05).Conclusion The method of free position for labor in active period combined with mindfulness meditation and relaxation pain relief can promote the progress of labor in primiparas with natural childbirth,shorten the time of the first and second stages of labor,reduce the degree of pain,improve the sense of labor control,reduce postpartum hemorrhage,improve the Apgar score of newborns,and reduce adverse pregnancy outcomes.