无痛分娩配合自由体位待产对初产妇自我效能及分娩结局的影响

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (0 KB) HTML (44 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the effect of painless delivery combined with free position for labor on the self-efficacy and delivery outcomes of primiparas.Methods A total of 200 primiparas admitted to our hospital from July 2018 to April 2019 were selected as research objects.They were divided into the control group (100 cases) and the experimental group (100 cases) according to the simple random sampling method.The control group used the natural conventional method for labor, and the experimental group used the painless labor combined with free position method for labor.The cesarean section rate, visual analogue scale (VAS) score, total postpartum hemorrhage, length of hospital stay,labor process, and neonatal Apgar score between the two groups were compared.The pelvic floor muscle strength, muscle fatigue after delivery, delivery outcomes, and self-efficacy scores before and after delivery in the two groups were observed.Results The cesarean section rate in the experimental group was lower than that in the control group, and the difference was statistically significant (P＜0.05).The VAS score of the experimental group was lower than that of the control group, the total postpartum hemorrhage was less than that of the control group, and the length of hospital stay was shorter than that of the control group, the differences were statistically significant (P＜0.05).The first, second, and third stages of labor process in the experimental group were shorter than those in the control group, and the differences were statistically significant (P＜0.05).Apgar score at 1 minute of birth in the experimental group was higher than that in the control group, and the difference was statistically significant (P＜0.05).Before delivery, there were no significant differences in the self-efficacy scores between the two groups (P＞0.05).After delivery, the self-efficacy scores of the two groups were higher than those before delivery, and the differences were statistically significant (P＜0.05).After delivery, the positive attitude, self-determination, and self-decompression scores in the experimental group were higher than those in the control group, and the differences were statistically significant (P＜0.05).The pelvic floor muscle strength after delivery in the experimental group was higher than that in the control group, and the difference was statistically significant (P＜0.05).The muscle fatigue of Ⅰand Ⅱfibers in the experimental group was lower than that in the control group, and the difference was statistically significant (P＜0.05).The total incidence rate of adverse delivery outcomes in the experimental group (19.0%) was lower than that in the control group (37.0%), and the difference was statistically significant (P＜0.05).Conclusion Painless delivery combined with free position for labor in primiparas is helpful to protect the pelvic floor function, shorten the labor process, improve the self-efficacy to a certain extent,which is beneficial to postpartum psychological and physiological recovery.

Key words： Painless delivery Free position Primiparas Self-efficacy Labor Pelvic floor muscle strength

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HUANG Jing-yun
	ZHANG Chun-xiu
	ZHANG Li-ming
	HONG Jing-dan

Cite this article:

HUANG Jing-yun,ZHANG Chun-xiu,ZHANG Li-ming, et al. Effect of painless delivery combined with free position for labor on the self-efficacy and delivery outcomes of primiparas[J]. 中国当代医药, 2020, 27(11): 102-106.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I11/102

[1]	李友炯.罗哌卡因复合舒芬太尼用于初产妇无痛分娩的临床效果观察[J].中国妇幼保健，2017，32（23）：6032-6034.
[2]	薛莉莉，朱玲玲.基于责任助产模式的优质护理干预对无痛分娩孕妇母婴结局的影响[J].河北医药，2018，40（4）：637-640.
[3]	Yaya S，Uthman OA，Amouzou A，et al.Disparities in caesarean section prevalence and determinants across sub-Saharan Africa countries[J].Glob Health Res Policy，2018，3：19.
[4]	张远惠，谢婧，李玲玲，等.自由待产体位及改良产程体位在经阴道自然分娩中的应用[J].检验医学与临床，2018，15（6）：864-866.
[5]	朱雁虹，席巍，张爽.导乐分娩配合体位管理在分娩镇痛中的作用[J].现代医药卫生，2018，34（8）：1204-1205.
[6]	Hre s anová E.The psychoprophylactic method of painless childbirth in socialist Czechoslovakia：from state propaganda to activism of enthusiasts[J].Med Hist，2016，60（4）：534-556.
[7]	吴立明，范广梅，孙莲莲.无痛分娩联合自由体位对初产妇分娩的影响[J].包头医学院学报，2018，34（6）：12-13.
[8]	Ali E，Kumar M.Chronic uterine inversion presenting as a painless vaginal mass at 6 months post partum：a case report[J].J Clin Diagn Res，2016，10（5）：7-8.
[9]	Moatti Z，Nisner T，Saini A，et al.Delayed postpartum haemorrhage secondary to a ruptured uterine artery pseudo-aneurysm，successfully treated by transarterial embolisation[J].BMJ Case Rep，2011，2011：pii：bcr0520114270.
[10]	李智慧，覃宝全，黄凤霞.自由体位配合无痛分娩对初产妇分娩的影响[J].吉林医学，2015，36（17）：3749-3751.
[11]	Zamudio S，Postigo L，Illsley NP，et al.Maternal oxygen delivery is not related to altitude-and ancestry-associated differences in human fetal growth[J].J Physiol，2007，582（Pt 2）：883-895.
[12]	张爱英，吕慧，吴芳芳，等.认知行为干预对无痛分娩初产妇妊娠压力、自我效能及分娩结局的影响[J].浙江医学，2017，39（16）：1387-1389.
[13]	侯静静，付子毅，孙志岭.自由体位结合自主屏气用力对初产妇自我效能、分娩控制感的影响[J].中国妇产科临床杂志，2019，20（1）：70-71.
[14]	Jorg B，Claudia OP，Catherine DK，et al.Obstetric brachial plexus palsy：current treatment strategy，long-term results，and prognosis[J].Dtsch Arztebl Int，2009，106（6）：83-90.
[16]	古聪慧，朱小红，肖丹璇，等.分娩球配合自由体位助产对初产妇产痛及焦虑心理的影响[J].检验医学与临床，2018，15（6）：869-871.
[17]	李凤娥.无痛分娩下新产程标准管理对母婴结局的影响[J].中国当代医药，2019，26（22）：132-134.
[15]	Scheiblhofer S，Thalhamer J，Weiss R，et al.Laser microporation of the skin：prospects for painless application of protective and therapeutic vaccines[J].Expert Opin Drug Deliv，2013，10（6）：761-773.