摘要
目的观察自由体位助产配合分娩球运动对自然分娩初产妇产程时间及分娩体验的影响。方法60例自然分娩初产妇,以接受常规体位分娩的30例产妇为对照组,以接受自由体位助产配合分娩球运动分娩的30例产妇为观察组。对比两组分娩体验、剖宫产率、会阴侧切率、产程时间以及分娩结局。结果观察组的参与性、安全感知、专业支持、自身能力评分以及总分分别为(8.61±1.33)、(13.85±1.95)、(12.15±1.87)、(16.82±2.31)、(51.43±4.38)分,高于对照组的(7.69±1.12)、(12.68±2.17)、(11.18±1.76)、(15.33±2.27)、(46.88±4.22)分(P<0.05)。观察组剖宫产率3.33%、会阴侧切率6.67%低于对照组的23.33%、30.00%(P<0.05)。观察组第一产程、第二产程、第三产程、总产程时间分别为(438.93±25.49)、(35.88±3.28)、(5.37±0.49)、(480.18±27.41)min,短于对照组的(511.84±29.76)、(45.71±3.76)、(6.29±0.54)、(563.84±31.28)min(P<0.05)。观察组产后出血量(214.39±21.55)ml少于对照组的(269.58±23.48)ml,新生儿1minApgar评分(8.87±0.45)分、新生儿5minApgar评分(9.45±0.39)分高于对照组的(8.31±0.34)、(9.02±0.36)分(P<0.05)。结论自然分娩初产妇在分娩过程中采用自由体位助产配合分娩球运动的分娩方式更有助于产程的推进,提升分娩体验,改善分娩结局,降低剖宫产率以及会阴侧切率,临床应用价值显著。
Objective To observe the influence of free position midwifery combined with birth ball exercise on duration of labor and childbirth experience of primipara with natural childbirth.Methods 60 primipara with natural childbirth were included in the study.30 primipara receiving conventional position delivery were selected as the control group,and 30 primipara receiving free position midwifery combined with birth ball exercise delivery were selected as the observation group.The childbirth experience,cesarean section rates,episiotomy rates,duration of labor,and delivery outcomes of the two groups were compared.Results The scores of participation,safety perception,professional support,self-ability and total score of the observation group were(8.61±1.33),(13.85±1.95),(12.15±1.87),(16.82±2.31),and(51.43±4.38)points,which were higher than those of the control group[(7.69±1.12),(12.68±2.17),(11.18±1.76),(15.33±2.27),and(46.88±4.22)points](P<0.05).The cesarean section rate 3.33%and the episiotomy rate 6.67%in the observation group were lower than those in the control group(23.33%and 30.00%)(P<0.05).The duration of the first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the observation group were(438.93±25.49),(35.88±3.28),(5.37±0.49),and(480.18±27.41)min,which were shorter than those in the control group[(511.84±29.76),(45.71±3.76),(6.29±0.54),and(563.84±31.28)min](P<0.05).The amount of postpartum hemorrhage(214.39±21.55)ml in the observation group was less than(269.58±23.48)ml in the control group;the 1-min Apgar score(8.87±0.45)points and the 5-min Apgar score(9.45±0.39)points in the observation group were higher than those in the control group[(8.31±0.34)and(9.02±0.36)points](P<0.05).Conclusion The delivery mode of free position midwifery combined with birth ball exercise in the process of natural childbirth is more conducive to the advancement of the duration of labor,improving the childbirth experience,improving the delivery outcome,reducing the rates of cesarean section and episiotomy,which has significant clinical application value.
作者
戴秋蕊
江梅玫
DAI Qiu-rui;JIANG Mei-mei(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361004,China)
出处
《中国现代药物应用》
2025年第20期25-28,共4页
Chinese Journal of Modern Drug Application
关键词
自由体位助产
分娩球运动
自然分娩
初产妇
产程时间
分娩体验
Free position midwifery
Birth ball exercise
Natural childbirth
Primipara
Duration of labor
Childbirth experience
