分娩球配合自由体位助产护理对初产妇产程、疼痛程度及新生儿健康的影响

Effect of Labor Ball with Free Position Assisted Delivery Care on the Course of Labor,Pain Level and Neonatal Health of Primigravid Women

目的:探讨分娩球配合自由体位助产护理对初产妇产程、疼痛程度及新生儿健康的影响。方法:选取2020年5月—2023年5月苏州市立医院接收的100例初产妇作为研究对象,采用随机数表法分为对照组与观察组,每组各50例。对照组产妇予以常规助产护理干预,观察组产妇予以分娩球配合自由体位助产护理干预。比较两组产妇产程、产后出血量、疼痛程度[疼痛数字评分法(NRS)]、分娩控制感[分娩控制量表(LAS)]、分娩方式、应对方式[简易应对方式量表(SCSQ)]、新生儿健康[新生儿窒息、新生儿感染、Apgar评分]情况。结果:观察组产妇第一产程、第二产程、第三产程短于对照组,产后出血量少于对照组,NRS评分低于对照组,LAS评分高于对照组,差异有统计学意义(P<0.05)。入组时,两组产妇应对方式评分比较,差异无统计学意义(P>0.05);分娩前,观察组产妇积极应对方式评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05);观察组新生儿窒息率、新生儿感染率低于对照组,Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论:分娩球配合自由体位助产护理可以有效缩短产妇产程,减轻其疼痛,降低产后出血量,提高自然分娩率及分娩控制感,同时有助于提升新生儿健康水平,降低新生儿窒息率和感染率。

Objective:To investigate the effect of labor ball with free position assisted delivery care on the course of labor,pain level,and neonatal health of primigravid women.Method:100 cases of primigravid women admitted to Suzhou Municipal Hospital from May 2020 to May 2023 were selected as the study subjects and were divided into a control group and a observation group by the method of randomized number table,with 50 cases in each group.Mothers in the control group were given routine midwifery care,and mothers in the observation group were given labor ball with free position midwifery care.The duration of labor,postpartum hemorrhage,pain level[numeric rating scale for pain(NRS)],sense of labor control[labor control scale(LAS)],mode of delivery,coping styles[simple coping styles scale(SCSQ)],and neonatal health[neonatal asphyxia,neonatal infections,and Apgar score]were compared between the two groups.Result:In the observation group,the first,second and third stages of labor were shorter than those of the control group,postpartum hemorrhage was less than that of the control group,the NRS score was lower than that of the control group,and the LAS score was higher than that of the control group,and the difference was statistically significant(P<0.05).At the time of enrollment,the maternal coping style scores of the two groups were compared,and the difference was not statistically significant(P>0.05).Before delivery,the maternal positive coping style score of the observation group was higher than that of the control group,and the negative coping score was lower than that of the control group,and the difference was statistically significant(P<0.05).The rate of neonatal asphyxia and neonatal infection in the observation group was lower than that in the control group,and the Apgar score was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Birthing ball with free position assisted delivery care can effectively shorten the duration of labor,reduce her pain,decrease postpartum hemorrhage,improve the rate of natural delivery and the sense of birth control,and at the same time help to improve the health of newborns and reduce the rate of neonatal asphyxia and infection.