水疗配合自由体位助产对初产妇分娩的影响

目的探讨水疗配合自由体位助产对初产妇分娩的影响。方法将138例初产妇随机分为对照组与观察组,每组各69例。对照组采用导乐陪伴分娩,即宫口开大至3cm后采取传统卧位或半卧位待产及分娩;观察组在导乐陪伴分娩基础上采取水疗配合自由体位待产及分娩。观察两组产妇各产程及总产程时间、产后2h出血量、新生儿1min Apgar评分,分娩方式及产妇疼痛、焦虑、分娩控制感情况。结果观察组产妇第一产程、第二产程及总产程时间明显较对照组缩短,产后2h出血量明显较对照组减少,疼痛、焦虑程度明显较对照组降低,分娩控制感程度明显高于对照组,两组比较,均P0.05;而自然分娩率、剖宫产率、会阴侧切率及新生儿1min Apgar评分比较,差异无统计学意义(均P0.05)。结论水疗配合自由体位助产能缩短产妇产程,降低产妇产痛及焦虑程度,提高产妇分娩控制感和舒适感。

Effect of spa with free position on parturition of primipara

Objective To explore the effect of spa with free position on parturition of primipara.Methods One hundred and thirty-eight primiparas were equally randomized into control group and observation group. The control group conducted Doula delivery,which means a delivery at recumbent or semi-recumbent position when mouth of the uterus opened by 3 cm and the primiparas in the observation group took free position with spa based on Doula delivery. The two groups were compared in terms of the durations of each labor and total labor, postpartum bleeding 2 h after delivery and neonatal Apgar score,delivery way,pains,anxiety and feeling of control at delivery.Results The postpartum bleeding in the observation group was significantly lower than that in the control group（P〈0.05）. The durations of first labor, second labor and total labor in the observation group were all significantly shorter than those of the control. The degrees of pain and anxiety were lower than those of the control group,while the control sense at delivery was better than that of the control group（P〈0.05,for all）. There were no differences in the rate of spontaneous delivery,the rate of uterine-incision delivery,the rate of episiotomy and scores on 1 min Apgar scales（P〉0.05）.Conclusion Aided delivery by spa with free position can reduce labor pain and anxiety levels,improve the birth control and comfort and ultimately enhance the sense of delivery control and comfort.