自由体位联合分娩球在初产妇分娩中的应用

目的:探讨产前自由体位联合分娩球在初产妇分娩中的应用效果。方法:232例初产妇按照随机数字表法分为观察组和对照组,各116例。对照组产妇常规产前指导,观察组在此基础上引用产前自由体位联合分娩球法,比较两组产妇产程时间、SF-MPQ疼痛评分、焦虑自评量表评分及分娩方式。结果:观察组产妇经阴道分娩率显著高于对照组(P<0.05),剖宫产率显著低于对照组(P<0.05);两组中经阴道分娩产妇比较,观察组第一产程时间及总时间显著低于对照组(P<0.05),且观察组SF-MPQ疼痛评分和SAS评分均显著低于对照组(P<0.05)。结论:产前自由体位联合分娩球助产能够有效缩短初产妇产程时间,降低产妇疼痛感,改善产妇焦虑状态,提高自然分娩率,值得临床推广。

Application of free body position combined with delivery ball in delivery of primiparas

Objective:To explore the application efficacy of antenatal free body position combined with delivery ball in delivery of primiparas.Methods:A total of 232 primiparas were randomly divided into observation group and control group,1 16 cases for each group.Control group was given antenatal guidelines,on which basis observation group was added with antenatal free body position com-bined with delivery ball.The duration of stage of labor,short form of the McGill Pain Questionnaire (SF-MPQ)pain score,self-rating anxiety scale (SAS)and delivery modes were compared between two groups.Results:Observation group was markedly higher in trans-vaginal parturition rate (P <0.05)and prominently lower in cesarean section rate than control group (P <0.05).Meanwhile,observa-tion group was notably lower in the duration of the first stage of labor and total time (P <0.05),and in SF-MPQ and SAS scores than control group (P <0.05).Conclusion:Antenatal free body position combined with delivery ball can effectively shorten the duration of stage of labor,reduce pain,improve anxiety condition,and increase natural delivering rate for primiparas,deserving to be widely used in clinic.