孕晚期骨盆运动配合自由体位助产对初产妇产程及分娩控制感的影响  

Effects of pelvic movement in late pregnancy combined with free position midwifery on labor process and delivery control of primipara

作　　者：申宇[1] 呼欣荣 申小娟 SHEN Yu;HU Xinrong;SHEN Xiaojuan(Yan'an People's Hospital,Yan'an 716000;Xi'an No.5 Hospital,Xi'an 710082,China)

机构地区：[1]延安市人民医院,陕西延安716000 [2]西安市第五医院,陕西西安710082

出　　处：《临床医学研究与实践》2025年第10期150-153,共4页Clinical Research and Practice

摘　　要：目的探讨孕晚期骨盆运动配合自由体位助产对初产妇产程及分娩控制感的影响。方法选取2020年12月至2022年12月收治的110例初产妇为研究对象,随机将其分为对照组和观察组,每组55例。对照组采用常规护理干预,观察组在对照组基础上采用孕晚期骨盆运动配合自由体位助产护理。比较两组的干预效果。结果观察组的第一产程、第二产程、第三产程时间及总产程时间均短于对照组,差异具有统计学意义(P<0.05)。第三产程,观察组的分娩控制量表(LAS)评分高于对照组,视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。观察组的母婴不良分娩结局总发生率低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各维度评分高于对照组,差异具有统计学意义(P<0.05)。结论孕晚期骨盆运动配合自由体位助产能够缩短初产妇产程,提高分娩控制感,降低不良妊娠结局发生率,改善初产妇的生活质量,值得推广。Objective To investigate the effects of pelvic movement in late pregnancy combined with free position midwifery on labor process and delivery control of primipara.Methods A total of 110 primiparas admitted from December 2020 to December 2022 were selected as study objects,and the patients were randomly divided into control group and observation group,with 55 cases in each group.The control group was given routine nursing intervention,and the observation group was given pelvic movement in late pregnancy combined with free position midwifery nursing on the basis of the control group.The intervention effects of the two groups were compared.Results The time of 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 shorter than those in the control group,and the differences were statistically significant(P<0.05).In the third stage of labor,the Labour Agentry Scale(LAS)score of the observation group was higher than that of the control group,the Visual Analogue Score(VAS)score was lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse maternal and infant delivery outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of each dimension of World Health Organization Quality of Life-Brief Version(WHOQOL-BREF)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Pelvic movement in late pregnancy combined with free position midwifery can shorten the labor process of primipara,improve the sense of delivery control,reduce the incidence of adverse pregnancy outcomes,and improve the quality of life of primipara,which is worthy of promotion.

关 键 词：孕晚期骨盆运动 自由体位助产 初产妇 产程 分娩控制感 

分 类 号：R473[医药卫生—护理学]