Wang Jianfang, Lu Xuemei, Wang Chunhong, Li Xuemei
Jianfang Wang Public Health Section, Binzhou People's Hospital, Binzhou, 256610, China.
Xuemei Lu Medical Records Room, Binzhou People's Hospital, Binzhou, 256610, China.
Pak J Med Sci. 2020 Mar-Apr;36(3):550-554. doi: 10.12669/pjms.36.3.1440.
To analyze the clinical effect of delivery ball and free position delivery nursing in primipara delivery.
Total 110 primipara who were admitted to the department of gynecology and obstetrics of our hospital from August 2017 to August 2018 were included in the study. They were randomly divided into an observation group and a control group, 55 each group. The control group adopted conventional nursing measures, while the observation group adopted delivery ball combined with free position midwifery nursing on the basis of conventional nursing. The pain degree, comfort degree, pregnancy outcome and sense of delivery control were compared between the two groups.
The number of puerperae with grade 0 and 3 labor pain in the two groups had no statistically significant difference (P>0.05). The number of puerperae with grade 1 and 2 had significant difference (P<0.05). As to the comparison of the delivery mode between the two groups, there were 9 cases of cesarean delivery and 46 cases of vaginal delivery in the observation group; there were 19 cases of cesarean delivery and 36 cases of vaginal delivery in the control group; the differences had statistical significance (P<0.05). In the comparison of the birth process time of the vaginal delivery puerperae, the time of the first and second stages of labor in the observation group was shorter than that in the control group, and the differences were statistically significant (P<0.05); there was no difference in the time of the third stage of labor between the two groups (P>0.05). The amount of hemorrhage of the observation group 2 hours after labor was 172.50±40.60 mL and that of the control group was 224.45±32.80 mL; the difference between the two groups was statistically significant (P<0.05). The sense of delivery control of the puerperae who suffered vaginal delivery was compared between the two groups using Labor Agentry Scale (LAS); the sense of delivery control of the observation group was stronger than that of the control group, and the differences had statistical significance (P<0.05).
In the delivery of primipara, delivery ball combined with free position delivery can help the primipara relieve pain, improve comfort degree, reduce the amount of postpartum hemorrhage, shorten the duration of various stages of labor, and improve the delivery outcome. It has a high clinical promotion value.
分析分娩球与自由体位分娩护理在初产妇分娩中的临床效果。
选取2017年8月至2018年8月我院妇产科收治的110例初产妇纳入研究。将其随机分为观察组和对照组，每组55例。对照组采用常规护理措施，观察组在常规护理基础上采用分娩球结合自由体位助产护理。比较两组的疼痛程度、舒适度、妊娠结局及分娩控制感。
两组0级和3级产痛产妇人数比较，差异无统计学意义（P>0.05）；1级和2级产痛产妇人数比较，差异有统计学意义（P<0.05）。两组分娩方式比较，观察组剖宫产9例，阴道分娩46例；对照组剖宫产19例，阴道分娩36例；差异有统计学意义（P<0.05）。阴道分娩产妇产程时间比较，观察组第一、第二产程时间短于对照组，差异有统计学意义（P<0.05）；两组第三产程时间比较，差异无统计学意义（P>0.05）。观察组产后2小时出血量为172.50±40.60 mL，对照组为224.45±32.80 mL；两组差异有统计学意义（P<0.05）。采用分娩控制感量表（LAS）比较两组阴道分娩产妇的分娩控制感，观察组分娩控制感强于对照组，差异有统计学意义（P<0.05）。
在初产妇分娩中，分娩球结合自由体位分娩可帮助初产妇缓解疼痛，提高舒适度，减少产后出血量，缩短各产程时间，改善分娩结局。具有较高的临床推广价值。
