不同阶段实施拉玛泽分娩减痛法训练对分娩影响的研究

目的观察不同阶段实施拉玛泽分娩减痛法训练对分娩的影响。方法将129例有自然分娩意向孕妇分入院前训练组（n=42）、待产训练组（n=45）、对照组（n=42），入院前训练组在孕7～8月进行拉玛泽分娩法训练，待产训练组在入院待产时进行拉玛泽分娩法训练，对照组则不进行拉玛泽分娩法训练。结果入院前训练组、待产训练组及对照组的第一产程、总产程时间比较，差异有统计学意义（P〈0．05）；入院前训练组、待产训练组在活跃期、第二产程的分娩疼痛程度较对照组明显减轻（P〈0．05）；入院前训练组、待产训练组产时的依从性比较，差异有统计学意义（P〈0．01）。结论不同阶段实施拉玛泽分娩减痛法训练对减轻产妇压力、降低分娩疼痛、缩短产程有明显促进作用；在孕期未接受拉玛泽分娩减痛法训练的可以在住院待产时补课，但越早进行训练依从性越好。

Study on the effect of application of Lamaza method exercise in different stages on delivery

Objective To observe the effect of Lamaza method exercise on delivery during different stages. Method Divided 129 pregnant women who intend nature delivery into group A which receives exercises before admission（ n= 42）, group B which receives exercises while waiting for delivery（n = 45） and control group（ n = 42）. The group A learns Lamaza childbearing method in 7-8 months of gestation, the group B learns the method while waiting or delivery, and the control group doesn＇t receive it. Result There is significant difference in the first stage of labor and the total labor processes time of group A, group B and the control group （ P 〈 0.05）. Pain degrees of group A and group B are obviously reduced than that of control group in active stage and second stage of labor （P 〈 0.05）. The difference of compliances during delivery in group A and group B has significant meaning （P〈0.01）. Conclusion Application of Lamaza method in different stages can relieve women＇s stress, reduce delivery pain and shorten the labor process. Pregnant woman who didn＇ t learn Lamaza method in the pregnancy could receive intervention after admission. But the sooner the method was performed, the better the compliance would be.