摘要
目的 将分娩球结合自由体位助产护理用于初产妇分娩中，探究其对初产妇产程及分娩结局的影响。方法 选取2024年1月-2025年1月本院收治的1500例初产妇，随机分组，对照组750例行常规护理，观察组750例行分娩球结合自由体位助产护理，对两组干预结果进行比较。结果 两组第一、第二、第三产程时间比较，观察组更短（P<0.05）；干预前，两组初产妇视觉模拟评分法（VAS）、分娩控制感量表（LAS）评分比较，不具显著差异（P>0.05），干预后，观察组VAS评分更低、LAS评分更高（P<0.05）；两组阴道分娩率比较，观察组82.80%更高（P<0.05），两组剖宫产率、不良分娩结局发生率比较，观察组17.20%、3.87%更低（P<0.05）。结论 对初产妇来说，应该分娩球结合自由体位助产护理可缩短产程时间，减轻初产妇分娩疼痛，提高分娩控制感，促使阴道分娩率升高，降低剖宫产率，改善分娩结局，具有较高应用价值。
关键词： 初产妇；分娩球；自由体位；产程；分娩结局
Abstract
Objective To explore the impact of combining the birth ball with free-position delivery assistance care on the labor process and delivery outcome of primiparas. Methods 1500 primiparas admitted to our hospital from January 2024 to January 2025 were randomly divided into two groups. The control group (750 cases) received routine care, while the observation group (750 cases) received delivery ball combined with free-position delivery assistance care. The intervention results of the two groups were compared. Results The time of the first, second, and third stages of labor was shorter in the observation group (P < 0.05). Before the intervention, the Visual Analogue Scale (VAS), Labour Agentry Scale (LAS) scores of primiparas in both groups did not show significant differences (P > 0.05). After the intervention, the VAS score of the observation group was lower and the LAS score was higher (P < 0.05). The vaginal delivery rate of the observation group was higher (82.80%) than that of the control group (P < 0.05). The cesarean section rate and the incidence of adverse delivery outcomes in the two groups were lower in the observation group (17.20% and 3.87%, respectively) (P < 0.05). Conclusion For primiparas, combining the delivery ball with free-position delivery assistance care can shorten the labor time, alleviate the pain of primiparas during delivery, enhance the sense of control during delivery, increase the vaginal delivery rate, reduce the cesarean section rate, improve the delivery outcome, and has high practical value.
Key words： Primipara; Birth ball; Free position; Labor process; Delivery outcome
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