Evaluation of the effect of labor ball combined with free position for expectant labor in parturient parturientswith analgesic labor and natural labor
分娩球联合自由体位待产在椎管内分娩镇痛自然分娩的初产妇中应用的效果评价

摘要

目的 探究分娩球联合自由体位待产在椎管内分娩镇痛自然分娩的初产妇中应用的效果。方法 选取 于 2021 年 7 月至 2022 年 6 月，我院行椎管内麻醉的分娩镇痛初产妇共 200 例，作为本次研究对象。根据研究对 象的入院序列数为基础，采用随机数字分组的方式，将 200 例实施椎管内麻醉下自然分娩的初产妇随机分为对照 组以及观察组。对照组采用常规的椎管麻醉后助产护理模式进行干预；观察组采用分娩球联合自由体位的椎管麻 醉后助产护理模式进行干预。对比分析对照组以及观察组的分娩情况、会阴损伤情况、护理满意度。结果 经分 娩球联合自由体位待产护理干预后，观察组产妇第二产程时间短，产后 2 小时出血量少，会阴切开率低，损伤小， 完整性高、护理满意度高，新生儿窒息无差异，各项指标数据明显优于对照组（P＜0.05），差异具有统计学意 义。结论 对实施椎管内分娩镇痛的初产妇采用分娩球联合自由体位的助产模式进行干预，能够有效缩短第二产 程,减少产后 2 小时出血量,减少会阴的损伤，在实际应用中具有优良的效果，值得进一步的推广与应用。

Abstract

Objective To explore the effect of labor ball combined with free position for labor in the application of intravertebral labor analgesia natural labor in primipara.
Methods A total of 200 primipara who received intravertebral anesthesia for labor analgesia in our hospital from July 2021 to June 2022 were selected as the objects of this study. Based on the admission sequence number of the subjects, 200 primiparas who underwent natural delivery under spinal anesthesia were randomly divided into the control group and the observation group by means of random number grouping. The control group was treated with the conventional midwifery nursing mode after spinal anesthesia. The observation group was treated with labor ball combined with free position of spinal canal anesthesia after midwifery nursing mode. The delivery condition, perineal injury and nursing satisfaction of the control group and the observation group were compared and analyzed.
Results After the labor ball combined with free postnatal nursing intervention, the observation group of maternal second stage of labor time is short, postpartum 2 hours less blood loss, perineotomy rate is low, little damage, high integrity, high nursing satisfaction, neonatal asphyxia no difference, each index data is significantly better than the control group (P<0.05), the difference is statistically significant.
Conclusion   The intervention of labor ball combined with free position midwifery mode can effectively shorten the second stage of labor, reduce postpartum blood loss 2 hours, and reduce perineal injury for primiparas who have intraspinal labor analgesia. It has excellent effect in practical application and is worthy of further promotion and application.