淋浴式水疗干预在促进产妇自然分娩中的应用研究

Study on the Application of Shower Hydrotherapy Intervention in Promoting Maternal Natural Childbirth

目的分析产妇自然分娩中淋浴式水疗干预的有效性。方法回顾性选取2021年8月—2023年6月于湘潭市妇幼保健院就诊的156例产妇的临床资料,根据不同干预方法分为两组。对照组采用常规分娩干预(n=78),观察组采用淋浴式水疗干预(n=78),比较两组的产程时间、宫缩情况、疼痛程度、产后2 h出血量、新生儿Apgar评分及分娩方式。结果观察组自然分娩率为93.59%(73/78),高于对照组的83.33%(65/78),差异有统计学意义(χ^(2)=4.019,P<0.05)。观察组的3个产程时间及总产程时间均短于对照组,差异有统计学意义(P均<0.05)。观察组的宫缩强度高于对照组,疼痛评分低于对照组,差异有统计学意义(P均<0.05)。观察组产后2 h出血量低于对照组,新生儿Apgar评分高于对照组,差异有统计学意义(P均<0.05)。结论产妇自然分娩中淋浴式水疗干预可以促进子宫协调性收缩,缓解分娩疼痛,降低产后出血量,提高新生儿Apgar评分,提高自然分娩率。

Objective To analyze the effectiveness of shower hydrotherapy intervention in natural childbirth.Methods The clinical data of 156 pregnant women who were treated in Xiangtan Maternal and Child Health Hospital from Au⁃gust 2021 to June 2023 were retrospectively selected and divided into two groups according to different intervention methods.The control group was treated with routine delivery intervention(n=78),and the observation group was treated with shower hydrotherapy intervention(n=78).The labor time,uterine contraction,pain degree,2 hours post⁃partum hemorrhage,neonatal Apgar score and delivery mode were compared between the two groups.Results The natural delivery rate of the observation group was 93.59%(73/78),which was higher than 83.33%(65/78)of the con⁃trol group,and the difference was statistically significant(χ^(2)=4.019,P<0.05).The three labor time and total labor time of the observation group were shorter than those of the control group,and the differences were statistically significant(all P<0.05).The uterine contraction intensity of the observation group was higher than that of the control group,and the pain score was lower than that of the control group,the differences were statistically significant(both P<0.05).The amount of bleeding at 2 hours after delivery in the observation group was lower than that in the control group,and the neonatal Apgar score was higher than that in the control group,the differences were statistically significant(both P<0.05).Conclusion Shower hydrotherapy intervention in natural delivery can promote uterine coordination contraction,relieve labor pain,reduce postpartum hemorrhage,improve neonatal Apgar score,and increase natural delivery rate.