生育舞蹈对初产妇产时疼痛、产程及分娩结局的影响

Effect of birth dance on pain during labor,labor process,and labor outcome of primipara

目的 探讨生育舞蹈对初产妇产时疼痛、产程及分娩结局的影响。方法 选择2022年1月至2023年3月在东莞市中西医结合医院分娩的140例初产妇为研究对象,根据随机数表法将所有产妇分为研究组和对照组,每组各70例。对照组产妇孕期行保健干预,研究组产妇在对照组的基础上行产时生育舞蹈干预。分娩后,比较两组产妇不同时间点的视觉模拟评分法(VAS)评分、总产程、产后2 h出血量、不同时间点强啡肽(DYN)水平及新生儿出生后1 min、5 min、10 min的Apgar评分。结果 镇痛前即刻,两组产妇的VAS评分比较差异无统计学意义(P>0.05);进入活跃期及宫口开全时,研究组产妇的VAS评分分别为(5.17±1.32)分、(6.43±0.64)分,明显低于对照组的(8.12±1.02)分、(8.54±0.83)分,差异均有统计学意义(P<0.05);研究组产妇的总产程、产后2 h出血量分别为(423.62±20.69) min、(213.61±25.82) m L,明显短(少)于对照组的(554.38±28.57) min、(314.76±28.71) m L,差异均有统计学意义(P<0.05);镇痛前即刻,两组产妇的DYN水平比较差异无统计学意义(P>0.05);宫口开全时,研究组产妇的DYN水平为(4.35±0.17) pg/mL,明显高于对照组的(3.08±0.18) pg/mL,差异有统计学意义(P<0.05);两组新生儿出生后1 min、5 min、10 min的Apgar评分比较差异均无统计学意义(P>0.05)。结论 生育舞蹈应用于初产妇可有效缓减产时疼痛,同时能提升DYN水平、缩短产程、减少产后出血量,具有临床推广价值。

Objective To explore the effects of birth dance on pain during labor,labor process,and labor out-come of primipara.Methods A total of 140 primiparas who gave birth in Dongguan Integrated Traditional Chinese and Western Medicine Hospital from January 2022 to March 2023 were selected and divided into a study group and a control group according to random number table method,with 70 cases in each group.The control group received health care in-tervention during pregnancy,and the study group received birth dance intervention during childbirth on the basis of the control group.After delivery,Visual Analogue Scale(VAS)score,total labor course,2 h postpartum blood loss,dynor-phin(DYN)level at different time points,and Apgar scores at 1 min,5 min,and 10 min after birth were compared be-tween the two groups.Results Immediately before analgesia,there was no significant difference in VAS scores be-tween the two groups(P>0.05);at the time of entering the active phase and full opening of the cervix,the VAS scores of the study group were(5.17±1.32)points and(6.43±0.64)points,which were significantly lower than(8.12±1.02)points and(8.54±0.83)points of the control group;the differences were statistically significant(P<0.05).The total labor and 2 h postpartum blood loss in the study group were(423.62±20.69)min and(213.61±25.82)mL,which were significantly shorter/lower than(554.38±28.57)min and(314.76±28.71)mL in the control group(P<0.05).Immediately before anal-gesia,there was no significant difference in DYN level between the two groups(P>0.05);at the full opening of the cer-vix,the DYN level in the study group was(4.35±0.17)pg/mL,which was significantly higher than(3.08±0.18)pg/mL in the control group;the differences were statistically significant(P<0.05).There were no significant difference in Apgar score between the two groups at 1 min,5 min,and 10 min after birth(P>0.05).Conclusion The application of birth dance in primipara can effectively alleviate the pain during labor,improve the DYN level,shorten the labor process,and reduce the amount of postpartum bleeding,which has clinical promotion value.