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目的:研究分娩球配合自由体位对初产妇产痛、分娩控制感与妊娠结局的影响。方法:选取2013年5月至2014年11月间温岭市妇幼保健院收治的82例初产妇的临床资料,根据数字随机分组法原则,将产妇分为对照组与观察组,每组各41例产妇,对照组采用平卧位待产,观察组给予分娩球配合自由体位助产,比较两组产妇的妊娠结局、产痛、分娩控制感。结果:1观察组的1级产痛例数明显高于对照组,2级产痛例数低于对照组,对比差异有统计学意义(P<0.05)。2观察组分娩控制感(170.53±17.54)分,对照组分娩控制感(123.12±15.32)分,对比差异有统计学意义(P<0.05)。3观察组Apagr评分:(9.85±0.35)分,对照组Apagr评分:(9.83±0.64)分,差异无统计学意义(P<0.05)。观察组(87.80%)的自然分娩率高于对照组(73.17%),差异有统计学意义(P<0.05)。结论:分娩球配合自由体位助产有利于提高分娩安全性,缓解孕产妇产痛,提高舒适度与自然分娩率,值得临床推广应用。
Objective: To study the effects of birth ball combined with free position on primipara pain, delivery control and pregnancy outcome. Methods: From May 2013 to November 2014, we collected 82 cases of primipara in Wenling Maternal and Child Health Hospital. According to the principle of random number, the women were divided into control group and observation group with 41 cases in each group Maternal, control group with supine position to be produced, the observation group given birth ball with free position midwifery, the two groups of maternal pregnancy outcomes, pain control, childbirth control. Results: 1 The incidence of grade 1 pain in the observation group was significantly higher than that in the control group, and the level of pain in grade 2 was lower than that in the control group. The difference was statistically significant (P <0.05). (2) The control group (170.53 ± 17.54) and the control group (123.12 ± 15.32), the difference was statistically significant (P <0.05). The Apagr score of the observation group was (9.85 ± 0.35) points, while that of the control group was (9.83 ± 0.64) points, the difference was not statistically significant (P <0.05). The observation group (87.80%) of the natural delivery rate was higher than the control group (73.17%), the difference was statistically significant (P <0.05). Conclusion: Delivery ball combined with free-standing midwifery is helpful to improve the safety of delivery, relieve the pain of maternal and improve the comfort and natural delivery rate, which is worthy of clinical application.