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| Application effect of free posture in labor process of parturient with abnormal fetal head position |
| LIU Hong-hui ZHOU Chu-min LIN Chun-yi |
| Delivery Room, Dongguan Chang′an Hospital, Guangdong Province, Dongguan 523843, China |
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Abstract Objective To investigate the application effect of free body position in labor process of parturients with abnormal fetal head position.Methods Fifty parturients with abnormal fetal head position delivered in our hospital from May 2018 to February 2019 were selected as study objects.All parturients were divided into control group and observation group according to random number table method, 25 cases in each group.The parturients in the control group were given traditional bladder stone cutting position and the guidance of screen delivery was given, while the parturients in the observation group were given free posture during delivery.The neonatal Apgar score，natural delivery rate,fetal head decline rate, total labor duration, postpartum bleeding volume and clinical nursing total satisfaction were compared between the two groups.Results The Apgar score of the observation group was (9.87±0.15) points, higher than that of the control group for(9.33±0.14)points,the difference was statistically significant(P<0.05).The natural delivery rate of the observation group (96.00%) was higher than that of the control group (76.00%), the difference was statistically significant (P<0.05).The rate of fetal head decline in the observation group was (1.01±0.06) cm/h, higher than that in the control group for (0.45±0.01) cm/h, and the total labor time of the observation group was (216.06.±7.18) min,shorter than that of the control group for (272.9±9.85) min, the amount of postpartum hemorrhage in the observation group was (185.26 ± 21.12) ml, less than (204.16±32.95) ml in the control group, the differences were statistically significant (P<0.05).The total satisfaction rate of clinical nursing in the observation group (100.00%) was higher than that in the control group (84.00%), the difference was statistically significant (P<0.05).Conclusion The free position is effective in correcting the abnormality of the fetal position.It can effectively shorten the labor process, increase the natural delivery rate, and effectively suppress the neonatal asphyxia.The safety is good.
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