分娩球配合自由体位待产对初产妇妊娠结局的临床效果研究(1)
[摘要] 目的 分析分娩球与自由体位配合待产对初产妇妊娠结局的临床效果。方法 方便选取该院2017年7月—2018年6月收治的192例待产初产妇为研究对象，随机分为两组，对照组产妇采用传统侧卧位或仰卧位，观察组产妇采用分娩球配合自由体位，对比两组产程时间、妊娠结局、新生儿Apgar评分。结果 观察组产程时间均短于对照组，新生儿Apgar评分高于于对照组，差异有统计学意义(P<0.05);观察组产妇自然分娩率为91.67%，高于对照组的64.58%，剖宫产率为5.21%，低于对照组的16.67%，差异有统计学意义(χ2=20.602、6.470，P<0.05)。 结论 分娩球与自由体位配合待产利于初产妇妊娠结局，推进产程，值得推广。
[关键词] 分娩球;自由体位;配合;待产;初产妇;妊娠结局
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2019)10(b)-0073-03
[Abstract] Objective To analyze the clinical effect of delivery ball and free position on the outcome of primipara pregnancy. Methods A total of 192 primiparas who were admitted to the hospital from July 2017 to June 2018 were convenient selected and randomly divided into two groups. The control group received traditional lateral or supine position body position， comparing the two groups of labor time， pregnancy outcome， neonatal Apgar score. Results The labor time of the observation group was shorter than that of the control group. The Apgar score of the newborn was higher than that of the control group， and the difference was statistically significant (P<0.05). The natural delivery rate of the maternal group was 91.67%， which was higher than that of the control group (64.58%). The cesarean section rate was 5.21%， which was lower than that of the control group (16.67%). The difference was statistically significant(χ2=20.602，6.470， P<0.05). Conclusion The birthing ball and the free position are suitable for the primipara pregnancy and promote the labor process， which is worth promoting.
[Key words] Birth ball; Free position; Coordination; Waiting for labor; Primipara; Pregnancy outcome
分娩属于人类自然生理过程，但会给产妇带来明显疼痛感，使其产生不良心理，特别是初产妇，因第一次分娩，缺乏对分娩相关知识的认识与了解，所以紧张、焦虑等情绪更加严重[1-2]。各种不良情绪会紊乱神经中枢，刺激儿茶酚胺分泌，导致宫缩乏力，产程随之延长，不利于改善母婴结局[3]。现阶段，临床上多数研究表明，将产妇疼痛减轻利于促进不良情绪缓解，同时推进产程，促使产妇自然分娩率提高[4-5]。分娩球属于一种应用率较高的助产工具，能促使产妇肌肉充分放松，缓解产妇不良情绪与阵痛[6]。自由体位是指产妇分娩时，采用包括跪、蹲、坐以及站在内的多种姿势，以此来将体力消耗量减少，产程缩短[7]。為了促进初产妇顺利分娩，改善分娩结局。该研究对此也进行了探究，方便选取2017年7月—2018年6月在该院待产的192例初产妇为研究对象，报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院待产的192例初产妇，纳入标准：①单胎;②正常足月妊娠;③不存在妊娠合并症;④知情同意。排除标准：①严重肝肾功能不全;②死胎;③存在严重产科并发症;④不愿参与。随机将产妇分为两组，观察组产妇年龄20～35岁，平均年龄(25.16±2.85)岁，孕周38～41周，平均孕周(39.05±0.89)周，共96例。对照组产妇年龄21～34岁，平均年龄(25.39±2.95)岁，孕周39～41周，平均孕周(39.18±0.88)周，共96例。研究通过伦理委员会的批准，对比两组基础资料，可比性显著，差异无统计学意义(P>0.05)。
1.2 方法
对照组：当产妇宫口开到3 cm时，进入导乐室，采用传统侧卧位或仰卧位，由导乐护士对产妇进行一对一陪护，产妇家属坐于产床旁，一直到产妇分娩。, http://www.100md.com(李惠芬)
[关键词] 分娩球;自由体位;配合;待产;初产妇;妊娠结局
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2019)10(b)-0073-03
[Abstract] Objective To analyze the clinical effect of delivery ball and free position on the outcome of primipara pregnancy. Methods A total of 192 primiparas who were admitted to the hospital from July 2017 to June 2018 were convenient selected and randomly divided into two groups. The control group received traditional lateral or supine position body position， comparing the two groups of labor time， pregnancy outcome， neonatal Apgar score. Results The labor time of the observation group was shorter than that of the control group. The Apgar score of the newborn was higher than that of the control group， and the difference was statistically significant (P<0.05). The natural delivery rate of the maternal group was 91.67%， which was higher than that of the control group (64.58%). The cesarean section rate was 5.21%， which was lower than that of the control group (16.67%). The difference was statistically significant(χ2=20.602，6.470， P<0.05). Conclusion The birthing ball and the free position are suitable for the primipara pregnancy and promote the labor process， which is worth promoting.
[Key words] Birth ball; Free position; Coordination; Waiting for labor; Primipara; Pregnancy outcome
分娩属于人类自然生理过程，但会给产妇带来明显疼痛感，使其产生不良心理，特别是初产妇，因第一次分娩，缺乏对分娩相关知识的认识与了解，所以紧张、焦虑等情绪更加严重[1-2]。各种不良情绪会紊乱神经中枢，刺激儿茶酚胺分泌，导致宫缩乏力，产程随之延长，不利于改善母婴结局[3]。现阶段，临床上多数研究表明，将产妇疼痛减轻利于促进不良情绪缓解，同时推进产程，促使产妇自然分娩率提高[4-5]。分娩球属于一种应用率较高的助产工具，能促使产妇肌肉充分放松，缓解产妇不良情绪与阵痛[6]。自由体位是指产妇分娩时，采用包括跪、蹲、坐以及站在内的多种姿势，以此来将体力消耗量减少，产程缩短[7]。為了促进初产妇顺利分娩，改善分娩结局。该研究对此也进行了探究，方便选取2017年7月—2018年6月在该院待产的192例初产妇为研究对象，报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院待产的192例初产妇，纳入标准：①单胎;②正常足月妊娠;③不存在妊娠合并症;④知情同意。排除标准：①严重肝肾功能不全;②死胎;③存在严重产科并发症;④不愿参与。随机将产妇分为两组，观察组产妇年龄20～35岁，平均年龄(25.16±2.85)岁，孕周38～41周，平均孕周(39.05±0.89)周，共96例。对照组产妇年龄21～34岁，平均年龄(25.39±2.95)岁，孕周39～41周，平均孕周(39.18±0.88)周，共96例。研究通过伦理委员会的批准，对比两组基础资料，可比性显著，差异无统计学意义(P>0.05)。
1.2 方法
对照组：当产妇宫口开到3 cm时，进入导乐室，采用传统侧卧位或仰卧位，由导乐护士对产妇进行一对一陪护，产妇家属坐于产床旁，一直到产妇分娩。, http://www.100md.com(李惠芬)