无痛分娩联合自由体位助产对初产妇产程及分娩结局的影响  

Effects of painless delivery combined with free position midwifery on labor and delivery outcomes in primipara

作　　者：吴婷[1] 马琼[1] 刘佩蓉[1] WU Ting;MA Qiong;LIU Peirong(The Second Affiliated Hospital of Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第二附属医院,江西省南昌市330006

出　　处：《护理实践与研究》2022年第18期2799-2803,共5页Nursing Practice and Research

摘　　要：目的探讨无痛分娩联合自由体位助产对初产妇产程及分娩结局等的影响。方法选取2021年1—12月医院分娩的初产妇180例为研究对象,按照组间基本特征具有可比性的原则将产妇分为观察组及对照组,每组90例。对照组行无痛分娩,观察组在对照组基础上联合自由体位助产,比较两组产程时间、分娩结局、分娩疼痛感、催产素使用率、安定使用率、分娩自我效能感、产妇分娩满意度等。结果观察组第一产程、第二产程、总产程短于对照组,组间比较差异有统计学意义(P<0.05);两组第三产程比较比较差异无统计学意义(P>0.05)。干预后观察组自我效能期望、结果期望评分高于对照组,组间比较差异有统计学意义(P<0.05)。两组会阴侧切率、产后出血发生率、胎儿宫内窘迫发生率、分娩疼痛感评分比较差异无统计学意义(P>0.05)。观察组自然分娩率及产妇分娩满意率高于对照组,组间比较差异有统计学意义(P<0.05)。观察组催产素使用率、安定使用率、宫缩乏力发生率及中转剖宫产率低于对照组,组间比较差异有统计学意义(P<0.05)。结论无痛分娩联合自由体位助产能有效减轻初产妇宫缩疼痛感,提高产妇分娩自我效能感,缩短产程,提高自然分娩率,改善产妇妊娠结局,进而提高产妇分娩满意度。Objective To explore the effects of painless delivery combined with free position midwifery on labor and delivery outcomes in primipara.Methods To select 180 primiparas who gave birth in hospitals from January to December 2021 as the study objects.According to the principle of comparability of basic characteristics between groups,the mothers were divided into an observation group and a control group,with 90 cases in each group.The control group underwent painless delivery,and the observation group was combined with free position midwifery on the basis of the control group.The labor process time,delivery outcome,labor pain,oxytocin use rate,stability use rate,childbirth self-efficacy,and maternal satisfaction with childbirth degree,etc,were compared between the two groups.Results The first stage of labor duration,the second stage of labor duration and the total labor duration in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the third stage of labor duration between the two groups(P>0.05).After the intervention,the self-efficacy expectation and outcome expectation scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).There were no significant differences in episiotomy rate,postpartum hemorrhage rate,fetal distress rate,and labor pain score between the two groups(P>0.05).The natural delivery rate and maternal delivery satisfaction rate in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The oxytocin usage rate,diazepam usage rate,incidence rate of uterine atony and transfer rate of cesarean section in the observation.

关 键 词：无痛分娩 自由体位助产 初产妇 产程 分娩结局 分娩满意度 

分 类 号：R473.71[医药卫生—护理学]