分娩球联合自由体位助产护理对初产妇分娩方式、产程及妊娠结局的影响

Effect of Delivery Ball Combined with Free Position Midwifery Nursing on Delivery Mode,Labor Process and Pregnancy Outcome of Primipara

目的研究分娩球联合自由体位助产护理对初产妇分娩方式、产程及妊娠结局的影响。方法以2022年1月-12月天津市第三中心医院待产的86例初产妇为研究对象,经随机数字表法分为对照组(43例)与观察组(43例),对照组给予常规助产护理,观察组则应用分娩球联合自由体位助产护理,比较两组分娩方式、产程用时、分娩疼痛[言语反应量表(VRS)]、分娩焦虑[焦虑视觉模拟量表(VAS-A)]、分娩控制感[分娩控制量表(LAS)]、妊娠结局[产妇结局(会阴侧切、产钳助产、产后出血)及新生儿结局(新生儿窒息、新生儿肺炎、围产儿死亡)]。结果观察组经阴道分娩率高于对照组(P<0.05);观察组第一产程、第二产程及总产程用时短于对照组(P<0.05);观察组VRS、VAS-A评分低于对照组,LAS评分高于对照组(P<0.05);观察组会阴侧切率、产钳助产率、产后出血率均低于对照组(P<0.05);两组新生儿结局比较,差异无统计学意义(P>0.05)。结论分娩球联合自由体位助产护理可提高初产妇顺产率,缩短其产程时间,缓解产妇疼痛及分娩焦虑,提高其分娩控制感,有助于产妇妊娠结局的改善。

Objective To study the effect of delivery ball combined with free position midwifery nursing on delivery mode,labor process and pregnancy outcome of primipara.Methods From January to December 2022,86 primiparas waiting for delivery in Tianjin Third Central Hospital were selected as the research objects.They were divided into control group(43primiparas)and observation group(43primiparas)by random number table method.The control group was given routine midwifery nursing,while the observation group was given delivery ball combined with free position midwifery nursing.The delivery mode,duration of labor,labor pain[Verbal Response Scale(VRS)],labor anxiety[Visual Analogue Scale of Anxiety(VAS-A)],labor control[Labour agentry scale(LAS)],pregnancy outcome[maternal outcome(episiotomy,forceps delivery,postpartum hemorrhage)and neonatal outcome(neonatal asphyxia,neonatal pneumonia,perinatal death)]were compared between the two groups.Results The vaginal delivery rate of the observation group was higher than that of the control group(P<0.05).The time of the first stage of labor,the second stage of labor and the total stage of labor in the observation group were shorter than those in the control group(P<0.05).The VRS and VAS-A scores of the observation group were lower than those of the control group,and the LAS score was higher than that of the control group(P<0.05).The episiotomy rate,forceps delivery rate and postpartum hemorrhage rate in the observation group were lower than those in the control group(P<0.05).There was no significant difference in neonatal outcomes between the two groups(P>0.05).Conclusion Delivery ball combined with free position midwifery nursing can improve the spontaneous delivery rate of primipara,shorten the labor time,relieve maternal pain and delivery anxiety,improve their sense of delivery control,and help improve maternal pregnancy outcomes.