自由体位联合分娩球分娩临床应用效果  

Effect of free position combined with delivery ball used during delivery

作　　者：张烨[1] 闫华[1] 苗从艳[1] 张培培 ZHANG Ye;YAN Hua;MIAO Congyan;ZHANG Peipei(Bengbu Third People's Hospital,Bengbu,Anhui Province,233000)

机构地区：[1]安徽省蚌埠市第三人民医院,233000

出　　处：《中国计划生育学杂志》2023年第9期2073-2077,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨自由体位联合分娩球应用效果,及对妊娠结局及新生儿影响。方法:将2020年1月-2023年4月本院收治的82例产妇随机分为对照组和观察组各41例,分别采用常规助产方案及自由体位联合分娩球分娩。对比两组分娩方式、产程时间、焦虑、疼痛、自我效能及妊娠结局差异。结果:观察组自然分娩率(90.2%)高于对照组(68.3%),剖宫产率(2.4%)低于对照组(19.5%),产程时间低于对照组,视觉模拟焦虑量表(VAS-A)、现有疼痛强度量表(PPI)、视觉模拟量表(VAS)、疼痛评级指数量表(PRI)评分均低于对照组,分娩自我效能总分(103.15±5.73分)高于对照组(82.99±8.28分),产后出血率(0)低于对照组(12.2%),新生儿出生Apgar评分(9.8±0.1分)高于对照组(9.1±0.1分)(均P<0.05)。结论:自由体位联合分娩球可显著提高自然分娩率,缩短产程时间,减轻产妇焦虑等不良情绪,利于提高自我效能,改善妊娠结局,促进产后恢复。Objective:To investigate the effect of free position combined with delivery ball used during delivery of women,and to study its influence on the pregnancy outcomes and the neonates of the women.Methods:82women were randomly divided into two groups(41cases in each group)from January 2020to April 2023.The women in the study group were given free position combined with ball delivery during delivery,and the women in the control group were given routine midwifery protocol.The delivery model,the duration of labor,the anxiety,the pain,the self-efficacy,and the different pregnancy outcomes of the women were compared between the two groups.Results:The natural delivery rate(90.2%)of the women in the study group was significantly higher than that(68.3%)of the women in the control group.The cesarean section rate(2.4%)of the women in the study group was significantly lower than that(19.5%)of the women in the control group.The duration of labor,and the scores of visual analogue scale anxiety(VAS-A),existing pain intensity index(PPI)scale,visual analogue scale(VAS),and pain rating index(PRI)scale of the women in the study group were significantly lower than those of the women in the control group.The total score of delivery self-efficacy(103.15±5.73points)of the women in the study group was significantly higher than that(82.99±8.28points)of the women in the control group.The postpartum hemorrhage rate(0)of the women in the study group was significantly lower than that(12.2%)of the women in the control group,and the neonatal Apgar score(9.8±0.1points)in the study group was significantly higher than that(9.1±0.1points)in the control group(all P<0.05).Conclusion:The free position combined with delivery ball used during delivery of the women can significantly improve their rate of natural delivery,shorten their duration of labor,and reduce their anxiety and other adverse emotions,and which is conducive to improving the self-efficacy and pregnancy outcomes and to promoting the postpartum recovery of the women.

关 键 词：分娩 自由体位 分娩球 自我效能 产程 分娩结局 

分 类 号：R714.3[医药卫生—妇产科学]