摘要
目的探讨自由体位助产、分娩球和导乐三者联合对初产妇分娩控制感及分娩结局的影响。方法选取2018年2月~2019年2月我院产科即将分娩的产妇90例作为研究对象,按随机数字法分为A、B、C三组,各30例。A组产妇正常分娩,B组产妇采用自由体位配合分娩球助产,C组产妇采用自由体位、分娩球和导乐三者联合助产。观察比较三组分娩控制量表(LAS)评分,疼痛视觉模拟评分(VAS)评分及分娩结局。结果C组LAS评分高于A、B两组(P<0.05)。C组产痛率低于A、B两组(P<0.05)C组剖宫产率、新生儿窒息或死亡率低于A、B两组(P<0.05),阴道分娩率、新生儿健康率高于A、B两组(P<0.05)。结论自由体位助产、分娩球和导乐三者联合有助于初产妇更好控制分娩,有效降低产痛率,提高阴道分娩率以改善妊娠结局,对产妇及新生儿生命健康具有重要意义。
Objective To investigate the effect of free position delivery,delivery ball and Doulainstrument on the sense of laborcontrol and delivery outcome of primipara.Methods 90 cases of parturients giving birth in our hospital from February 2018 to February 2019 were selected,and were divided into three groups according to the random number method:group A,B and C,with 30 cases in each group.Normal delivery was adopted in group A,free position delivery combined with delivery ball or Doulainstrument was adopted in group B,while group C received thefree position delivery,delivery ball and Doulainstrument.The labour agentry scale(LAS)score,visual analogue scale(VAS)score and the delivery outcomes of groups were observed and compared.Results The LAS score of group C was significantly higher than that of group A and B(P<0.05).The pain rate in group C was significantly lower than that in group A and B(P<0.05).Group C had lower incidence rate of cesarean section,neonatal asphyxia or mortality,as well as higher vaginal delivery rate and neonatal health rate thanthose of the group A and B(P<0.05).Conclusion The application of free position delivery,delivery ball and Doulainstrument can effectively reduce the rate of birth pain,increase vaginal delivery rate to improve pregnancy outcome of primipara,which is of great significance to maternal and neonatal life and health.
作者
李娜
Li Na(The Second People's Hospital of Pingdingshan City,Henan Province Gynecology,467000)
出处
《辽宁医学杂志》
2020年第1期83-85,共3页
Medical Journal of Liaoning
关键词
自由体位助产
分娩球
导乐仪
初产妇
分娩控制
分娩结局
Free position delivery
Delivery ball
Doula
Primipara
Delivery control
Delivery outcome
