自我催眠对初产妇分娩时间和母婴结局的影响  

Effect of Self-hypnosis on Duration of Labor and Maternal and Neonatal Outcomes

作　　者：李慧雅 LI Hui-ya(Labor and Delivery Room,Department of Obstetrics and Gynecology,The First Hospital of Harbin Medical University,Harbin,Heilongjiang,150000,China)

机构地区：[1]哈尔滨医科大学附属第一医院产科分娩室,黑龙江哈尔滨150000

出　　处：《黑龙江医学》2023年第6期672-675,共4页Heilongjiang Medical Journal

摘　　要：目的:观察自我催眠对初产妇分娩时间和母婴结局的影响。方法:选取2018年11月—2019年11月哈尔滨医科大学附属第一医院产科门诊进行产检的150例初产妇作为研究对象,随机分为对照组和干预组,每组各75例。对照组进行常规治疗,干预组除了常规护理外还在妊娠32~34周接受催眠课程及音频训练。比较两组初产妇Wijma分娩期望/体验问卷(W-DEQ-A)评分、分娩持续时间、分娩方式、分娩过程以及婴儿娩出后的状态等。结果:相比干预前,干预组干预后W-DEQ-A评分显著降低,差异有统计学意义(t=2.6250,P<0.05);且干预后,干预组W-DEQ-A评分明显低于对照组,差异有统计学意义(t=2.2410,P<0.05)。两组初产妇早产情况比较,差异无统计学意义(χ2=0.1194,P>0.05)。在分娩方式的选择方面,干预组自然分娩率高于对照组,差异有统计学意义(χ2=4.7190,P<0.05);两组初产妇紧急剖宫产率比较,差异无统计学意义(χ2=1.8630,P>0.05)。在分娩持续时间方面,干预组第一产程和第二产程的持续时间均明显低于对照组,差异有统计学意义(χ2=3.0210、2.3240,P<0.05)。在产妇分娩过程方面,干预组催产素使用率、VAS评分均低于对照组,差异有统计学意义(χ2=4.2010,P<0.05;t=3.3550,P<0.05)。在新生儿娩出方面,两组初产妇在婴儿体重、Apgar评分、监护病房使用率方面比较,差异无统计学意义(t=0.1737、0.4768,P>0.05;χ2=0.5151,P>0.05)。结论:对产妇进行短期自我催眠训练,能够缓解产妇焦虑情绪,降低剖宫产率,缩短分娩持续时间,减轻分娩疼痛程度,为产妇顺利分娩及其健康提供了有力的帮助。Objective:To examine the effect of a brief course in self-hypnosis for childbirth on duration of the labor and other birth outcomes.Methods:150 cases of primiparous women who underwent maternity checkups in hospitals from November 2018 to November 2019 were selected as study subjects and randomly divided into control and intervention groups,with 75 cases each.The control group received conventional treatment,while the intervention group received hypnosis sessions and audio training at 32 to 34 weeks of gestation in addition to conventional care.The Wijma Delivery Expectancy/Experience Questionnaire(W-DEQ-A)scores,duration of delivery,mode of delivery,delivery process,and status of the baby after delivery were compared between the two groups of first-time mothers.Results:Compared to the pre-intervention period,the W-DEQ-A scores were significantly lower in the post-intervention group,with a statistically significant difference(t=2.6250,P<0.05).After the intervention,the W-DEQ-A score was significantly lower in the intervention group than in the control group,with a statistically significant difference(t=2.2410,P<0.05).There was no statistically significant difference between the two groups in terms of preterm delivery in primi⁃gravida(χ2=0.1194,P>0.05).The spontaneous delivery rate was higher in the intervention group than in the control group,with a statistically significant difference(χ2=4.7190,P<0.05).There was no statistically significant difference in the rate of emergency cesarean delivery between the two groups of primigravida(χ2=1.8630,P>0.05).The duration of the first and second stage of labor was significantly lower in the intervention group than in the control group,with statistically significant differences(χ2=3.0210,2.3240,P<0.05).The oxytocin use rate and VAS score were lower in the intervention group than in the control group,and the dif⁃ferences were statistically significant(χ2=4.2010,P<0.05,t=3.3550,P<0.05).There was no statistically significant difference in infant weight,Apgar score,or

关 键 词：分娩恐惧 自我催眠 Wijma分娩期望/体验问卷 母婴结局 

分 类 号：R714.3[医药卫生—妇产科学]