Jeong Mi-Yeon, Jung Hyang Mi
Department of Nursing, Jeil Hospital, Miryang, Korea.
Department of Nursing · Research Institute of Dong-eui Nursing Science, Dong-eui University, Busan, Korea.
J Korean Acad Nurs. 2024 Nov;54(4):607-619. doi: 10.4040/jkan.24097.
This study evaluated the effects of the Spinning Babies program applied during labor on birth outcomes and satisfaction among pregnant women.
This non-equivalent control group, non-synchronized post-test only design study included 42 participants (22 in the experimental group and 20 in the control group). The Spinning Babies program was conducted four times in the experimental group during the first and second stages of delivery for 50 min per session. The program comprised performing pelvic circles on a birth ball, followed by wide squatting and adopting of open knee-chest and side-lying positions.
Compared with those in the control group, pregnant women in the experimental group had a significantly shorter labor time (t = -6.64, < .001), a higher success rate for normal vaginal delivery (χ² = 4.86, = .043), improved Apgar scores of newborns (z² = -2.18, = .029), differences in neonatal oxygen therapy use (χ² = 4.86, = .043), and improved birth satisfaction (t = 11.99, < .001).
The Spinning Babies program improves the birth environment by increasing the normal vaginal delivery success rate, as well as pregnant women's birth satisfaction, and promotes neonatal health.
本研究评估了分娩期间应用的“胎位旋转法”对孕妇分娩结局及满意度的影响。
本非等效对照组、仅后测非同步设计研究纳入了42名参与者（实验组22名，对照组20名）。实验组在分娩第一和第二阶段进行了4次“胎位旋转法”，每次50分钟。该方案包括在分娩球上进行骨盆环转运动，随后进行宽蹲，以及采取开放式膝胸卧位和侧卧位。
与对照组相比，实验组孕妇的产程显著缩短（t = -6.64，P <.001），正常阴道分娩成功率更高（χ² = 4.86，P =.043），新生儿阿氏评分改善（z² = -2.18，P =.029），新生儿使用氧气疗法存在差异（χ² = 4.86，P =.043），分娩满意度提高（t = 11.99，P <.001）。
“胎位旋转法”通过提高正常阴道分娩成功率以及孕妇的分娩满意度来改善分娩环境，并促进新生儿健康。
