首页|导乐镇痛分娩联合分娩球助产在初产妇分娩中的应用观察

导乐镇痛分娩联合分娩球助产在初产妇分娩中的应用观察

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目的 观察导乐镇痛分娩联合分娩球助产在初产妇分娩中的效果.方法 100 例初产妇,经系统抽样法分为实验组与对照组,各 50 例.对照组实施常规助产措施,实验组实施导乐镇痛分娩联合分娩球助产.比较两组临床指标(产程时间、宫口张开速度、产后 2 h出血量)、分娩方式.结果 实验组产程时间(9.24±1.02)h、宫口张开速度(2.19±0.26)cm/h、产后2 h出血量(200.03±33.15)ml;对照组产程时间(10.15±1.76)h、宫口张开速度(2.05±0.21)cm/h、产后 2 h出血量(220.26±37.24)ml.实验组产程时间短于对照组,宫口张开速度快于对照组,产后 2 h出血量少于对照组,差异均有统计学意义(P<0.05).实验组自然分娩率96.00%高于对照组的74.00%,差异有统计学意义(P<0.05).结论 导乐镇痛分娩联合分娩球助产在临床初产妇分娩中的效果较好,可加快宫口张开速度,缩短产程时间,降低产后出血量,改善分娩方式,较常规助产措施更具优越性,值得临床推广应用.
Observation on the application of Doula analgesic delivery combined with birthing ball midwifery in primipara
Objective To observe the effect of Doula analgesic delivery combined with birthing ball midwifery in primipara.Methods 100 cases of primiparas were divided into an experimental group and a control group by systematic sampling,with 50 cases in each group.The control group applied conventional midwifery measures,while the experimental group applied Doula analgesic delivery combined with birthing ball midwifery.The clinical indicators(duration of labor,opening speed of uterine orifice,2 h postpartum blood loss)and delivery modes were compared between the two groups.Results In the experimental group,the duration of labor was(9.24±1.02)h,the opening speed of uterine orifice was(2.19±0.26)cm/h,and the 2 h postpartum blood loss was(200.03±33.15)ml;in the control group,the duration of labor was(10.15±1.76)h,the opening speed of uterine orifice was(2.05±0.21)cm/h,and the 2 h postpartum blood loss was(220.26±37.24)ml.The duration of labor in the experimental group was shorter than the control group,the opening speed of uterine orifice was faster than the control group,and the 2 h postpartum blood loss was less than the control group.The difference was statistically significant(P<0.05).The natural delivery rate in the experimental group(96.00%)was higher than that in the control group(74.00%),and the difference was statistically significant(P<0.05).Conclusion Doula analgesic delivery combined with birthing ball midwifery shows good effect in delivery of primiparas,which can accelerate the opening speed of the uterine orifice,shorten the duration of labor,reduce postpartum blood loss and improve the delivery mode,and is more superior than conventional assisted delivery measures.It is worthy of being promoted to clinical application.

Doula analgesic deliveryBirthing ball midwiferyPrimiparaNatural birth

亓效香、赵凤莉、王宁、黄秋华

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271000 山东第一医科大学第二附属医院

导乐镇痛分娩 分娩球助产 初产妇 自然分娩

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(1)
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