Application effect of guided multi-position change combined with free position delivery under acupressure on puerperae with abnormal fetal position
Objective:To investigate the efficacy of the combination of guiding multiple body position changes and acupoint pressure during free body position delivery in parturients with malpositioned fetuses.Methods:Sixty women with malposition of the fetus who gave birth in our hospital from January 2022 to June 2023 were randomly divided into a postural change group(guided multidirectional postural changes for labor and free postural delivery)and an acupoint pressure group(postural change group plus acupoint pressure),with 30 cases in each group.Perinatal indicators were recorded for both groups of women,and neonatal asphyxia was evaluated using the Appearance Pulse Grimace Activity Respiration(Apgar)score.The comfort of the women was evaluated using the General Comfort Questionnaire(GCQ),and the pain was evaluated using the Visual Analogue Scale(VAS).The postpartum mental state was evaluated using the Edinburgh Postnatal Depression Scale(EPDS).Results:The acupoint pressure group had significantly higher natural delivery rates,fetal head rotation rates,Apgar and GCQ scores than the position change group(P<0.05),and had significantly lower rates of adverse delivery outcomes,first stage of labor time,total labor time,vaginal bleeding volume 2 hours after delivery,VAS scores during each stage of labor,and EPDS scores than the position change group(P<0.05).Conclusion:Guiding multi-position changes combined with acupoint pressure under free body position delivery can effectively improve the natural birth rate of pregnant women with abnormal fetal position,shorten the labor process,improve maternal comfort and maternal-child outcomes.
Abnormal fetal positionGuided multi-position changeAcupressureFree position deliveryComfortNeonatal asphyxia
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