Luo Qi, Lu Zhaie, Xu Binbin, Feng Qirong
Obstetrics: Midwifery, Women and Children's Hospital of Ningbo University, Ningbo, CHN.
Obstetrics: Delivery Room, Women and Children's Hospital of Ningbo University, Ningbo, CHN.
Cureus. 2025 May 14;17(5):e84132. doi: 10.7759/cureus.84132. eCollection 2025 May.
Background The beneficial influence of nursing interventions upon the mother during natural childbirth is profound, though it has, as yet, not been tangibly identified. This is particularly important and of clinical relevance in the regulation of pain levels experienced by the mother in such an important life event. Aims This study aims to evaluate the effects of nursing intervention during delivery on pain relief and labor progression in vaginal delivery women. Methods A total of 86 vaginal delivery women from July 2023 to August 2024 were included and divided into two groups through a table of random numbers: Intervention group (n=43, receiving enhanced nursing intervention during delivery) and a Control group (n=43, receiving routine nursing intervention). The pain during delivery, duration of labor, childbirth attitudes questionnaire (CAQ), self-rating anxiety scale (SAS), and delivery outcomes were evaluated between the groups. Results Compared with the Control group, the visual analog scale (VAS) scores of the Intervention group at different time points (latent phase, acceleration phase, and deceleration phase) were lower, and the average time spent on the first, second, and third stages of labor was shorter. The scores of CAQ, SAS, and the usage rate of oxytocin were lower. In addition, there was less bleeding after two hours postpartum in the Intervention group (<0.05). There was no difference in Apgar scores at five minutes of birth for newborns between the two groups (>0.05). Conclusion Strengthening nursing interventions during vaginal delivery for vaginal delivery women can alleviate delivery pain, promote labor progression, alleviate childbirth fear and anxiety, and improve delivery outcomes.
背景 自然分娩过程中护理干预对母亲的有益影响是深远的,尽管尚未得到切实确认。这在调节母亲在这一重要人生事件中所经历的疼痛程度方面尤为重要且具有临床意义。目的 本研究旨在评估分娩期间护理干预对阴道分娩女性疼痛缓解和产程进展的影响。方法 纳入2023年7月至2024年8月期间共86例阴道分娩女性,通过随机数字表分为两组:干预组(n = 43,分娩期间接受强化护理干预)和对照组(n = 43,接受常规护理干预)。对两组之间的分娩疼痛、产程时长、分娩态度问卷(CAQ)、自评焦虑量表(SAS)及分娩结局进行评估。结果 与对照组相比,干预组在不同时间点(潜伏期、加速期和减速期)的视觉模拟评分(VAS)得分更低,第一、第二和第三产程的平均用时更短。CAQ、SAS评分及缩宫素使用率更低。此外,干预组产后两小时出血量更少(<0.05)。两组新生儿出生后5分钟时的阿氏评分无差异(>0.05)。结论 对阴道分娩女性加强阴道分娩期间的护理干预可减轻分娩疼痛,促进产程进展,缓解分娩恐惧和焦虑,并改善分娩结局。