Construction of a New Midwifery Scheme Combining Perineal Massage and Controlling the Speed of Fetal Head Delivery
Objective To establish a new midwifery scheme of perineal massage during labor combined with control of fetal head delivery speed.Methods According to the literature and clinical experience,a new scheme of perineal massage combined with control of fetal head delivery speed was established.From October to December 2021,12 obstetric care experts from Zhengzhou were invited to conduct Delphi expert consultation.Results Two rounds of expert consultation were carried out,and the questionnaires were effectively recovered.The Kendall harmony coefficients of all indexes were 0.242-0.488 and 0.126-0.280,respectively,with statistical significance(P＜0.01).The variation coefficient of each index in the second round of consultation ranged from 0.06 to 0.22,and the full score rate ranged from 33.3％to 91.7％.The authority coefficients of the experts in the two rounds of consultation were 0.85 and 0.89 respectively.The final plan of constructing the new perineal massage method combined with controlling the speed of fetal head delivery included 4 first-level indicators,9 second-level indicators and 49 third-level indicators.Conclusion The new intrapartum perineal massage combined with control of fetal head delivery speed is scientific,targeted,practical and feasible.
normal deliveryperineal massagemoderate perineal protectionprogramconstruct
万方数据
维普
