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【目的】探讨分娩球配合自主体位助产对初产妇分娩时主观感受和分娩结局的影响。【方法】选取初产妇73例，根据产妇意愿分为两组：观察组产妇在分娩球配合自主体位下助产，对照组产妇采用传统半卧位或卧位待产，两组均由家属及导乐护士陪伴。分娩后采用问卷量化表对两组产妇分娩疼痛、控制感、焦虑程度等主观感受进行评估，并比较两组产程时长、产后2 h出血量及新生儿Apgar评分。【结果】观察组分娩疼痛、焦虑程度和第一产程时长均显著低于对照组，而分娩控制感显著高于对照组，差异均具有统计学意义（ P ＜0．05）；而两组第二、三产程时长，产后2 h出血量和新生儿Apgar评分比较无显著性差异（ P ＞0．05）。【结论】分娩球配合自主体位助产能够提高初产妇主观舒适感受，并缩短第一产程，值得临床推广应用。“,”[Objective] To explore the subjective perceptions and delivery outcomes of free posture assisted by birth ball on primipara .[Methods] A total of 73 primiparas were divided into two groups by their inten‐tions .The experimental group adopted a free posture assisted by birth ball and were accompanied by their hus‐bands and a nurse .And the control group assumed a traditional semireclining or decubitus position .After childbirth ,the subjective perceptions of pain ,control and anxiety were evaluated by questionnaires .And birth process time ,volume of bleeding within 2 h and Apgar score were also evaluated .[Results] The degrees of pain ,anxiety and duration of first‐stage labor were lower in experimental group than those in control group ( P<0 .05) .And the degree of control feeling was higher in experimental group than that in control group ( P0 .05) .[Conclusion]Free posture assisted by birth ball can bring comforts and shorten the time of first‐stage labor for primiparas .