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| Effect of analgesia delivery combined with free posture delivery nursing on delivery outcome of primiparas |
| ZHENG Hui |
| Delivery Room, Shangrao Maternal and Child Health Hospital, Jiangxi Province, Shangrao 334000, China |
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Abstract Objective To analyze the value of analgesia delivery combined with free posture delivery nursing in primiparas with vaginal delivery. Methods A total of 268 primiparas with vaginal delivery who met the standard in our hospital from March 2016 to July 2018 were selected, and they were divided into control group and research group according to the random number table method, 134 cases in each group. The control group received analgesia delivery, while research group was given free posture delivery based on control group, and was given reasonable nursing intervention during delivery. The time of each stage of labor, pain degree and delivery outcome were compared between the two groups. Results There were 64 cases of pain degree with 0-2 during delivery in research group and 39 cases in control group, and research group was more than control group, and the difference was statistically significant (Z=3.612, P＜0.001). The time of first to third stage of labor and total stages of labor in research group ([6.12±1.51] h, [1.01±0.31] h,[7.88±1.59] min, [7.69±1.62] h) were shorter than those in control group ([9.01±1.79] h, [1.79±0.29] h, [12.61±2.89] min,[11.01±1.78] h), and the differences were statistically significant (t=21.758, 21.270, 16.600, 15.968, P＜0.001). The incidence of postpartum hemorrhage rate, conversion to cesarean section and neonatal asphyxia in research group (0.75%,1.49%, 0.75%) were lower than those in control group (5.97%, 8.96%, 5.97%), and the differences were statistically significant (χ2=4.139, 7.537, 4.139, P＜0.05). Conclusion Analgesia delivery combined with free posture delivery for primiparas with vaginal delivery is better than simple analgesia delivery, it can shorten the time of stages of labor, relieve delivery pain, reduce the incidence of postpartum hemorrhage and neonatal asphyxia, and increase the safety of delivery.
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| [1] |
Lee AI，Mccarthy RJ，Toledo P，et al.Epidural labor analgesia-fentanyl dose and breastfeeding success：a randomized clinical trial[J].Anesthesiology，2017，127（4）：614-624.
|
| [2] |
马海兰，杨钦彬，许尹丽.导乐镇痛联合硬膜外分娩镇痛在阴道分娩中的应用[J].广西医科大学学报，2016，33（3）：514-516.
|
| [3] |
刘威，于洪宇，吴丽霞.产妇分娩体位管理对分娩结局及新生儿的影响[J].中国妇幼保健，2016，31（23）：4933-4935.
|
| [4] |
江紫妍，黄美凌，夏华安，等.自由体位分娩在临床中的应用进展[J].中国实用护理杂志，2016，32（22）：1756-1760.
|
| [5] |
张静.自由体位分娩的研究进展[J].中华现代护理杂志，2018，24（5）：617-620.
|
| [6] |
刘小非，王剑鹰，王莎莎，等.无痛分娩中自由体位对母儿的影响[J].中国妇幼健康研究，2015，26（6）：1218-1219.
|
| [7] |
谢幸，苟文丽.妇产科学[M].8 版.北京：人民卫生出版社，2013：177-213.
|
| [8] |
李春蕊，张雯，樊碧发.数字评分法（NRS）与口述评分法（VRS）在老年慢性疼痛患者中的比较[J].中国疼痛医学杂志，2016，22（9）：683-686.
|
| [9] |
Wegnelius G，HammarstrM.Complete rupture of anal sphincter in primiparas：long-term effects and subsequent delivery[J].Am J Obstet Gynecol Scand，2015，90（3）：258-263.
|
| [10] |
闵辉，张铮.改良式助产手法在低危初产妇自然分娩中的应用[J].上海护理，2016，16（1）：18-20.
|
| [11] |
袁思梅.产前身心培训对初产妇母婴结局及身心状况的影响[J].解放军护理杂志，2015，32（11）：23-25.
|
| [12] |
Roelants F，Lavand'Homme P.Clinidine versus sufentanil as an adjuvant to ropivacaine in patient-controlled epidural labour analgesia：a randomised double-blind trial[J].Eur J Anaesthesiol，2015，32（11）：805-811.
|
| [13] |
Heesen M，Hofmann T，Rossaint R，et al.The effect of adding a background infusion to patient-controlled epidural labor analgesia on labor， maternal， and neonatal outcomes：a systematic review and Meta-analysis[J].Anesth Analg，2015，121（1）：149-158.
|
| [14] |
Frauenfelder S，Van RR，Radder CM，et al.Patient satisfaction between remifentanil patient-controlled analgesia and epidural analgesia for labor pain[J].Acta Obstet Gyn Scand，2015，94（9）：1014-1021.
|
| [15] |
张喜梅，吴娜，厉跃红，等.自由体位分娩对初产妇分娩自控感与分娩结局的影响[J].上海护理，2017，17（5）：59-61.
|
| [16] |
肖青青，高静，李幸，等.自由体位分娩对母婴分娩结局影响的Meta 分析[J].国际妇产科学杂志，2017，44（5）：552-559.
|
| [17] |
吕海荣，刘葵，刘晶.自由体位分娩对初产妇分娩结局的影响研究[J].中国计划生育和妇产科，2018，10（5）：79-82.
|
| [18] |
黄卓华，卢荔婕，胡顺平，等.自由体位在产程中的实施及分娩效果[J].广东医学，2016，37（15）：2313-2314.
|
| [19] |
郑后，顾凯芬，林燕萍.自由体位分娩在第二产程中的效果观察[J].护士进修杂志，2017，32（23）：2161-2162.
|
| [20] |
马丽，吴艳，侯燕.自由体位对阴道分娩的影响[J].医学临床研究，2016，33（3）：569-570.
|
|
|
|
