摘要
目的探讨转变助产服务模式下瑜伽球训练联合拉玛泽呼吸减痛法在初产妇自然分娩中的应用效果,为制定初产妇自然分娩护理干预方案提供参考。方法选取2021年4月—2023年3月河北北方学院附属第一医院收治的拟行阴道分娩的196例产妇,采用简单随机化法分为对照组与观察组,每组98例。对照组产妇采取常规助产护理模式干预,观察组产妇采取转变助产服务模式下瑜伽球训练联合拉玛泽呼吸减痛法干预。比较2组产妇最终分娩方式、各产程分娩疼痛程度、各产程时间、产后出血量与分娩控制感水平;比较2组新生儿动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、动脉血pH值、1 min Apgar评分等指标。结果观察组产妇经阴道分娩率为88.78%(87/98),高于对照组的76.53%(75/98),且观察组产妇中转剖宫产率为11.22%(11/98),低于对照组的23.47%(23/98),差异有统计学意义(χ^(2)=5.124,P=0.024)。观察组产妇第一产程、第二产程、第三产程视觉模拟评分法(VAS)评分均低于对照组,差异均有统计学意义(P<0.05)。观察组产妇第一产程、第二产程、第三产程时间均短于对照组,差异均有统计学意义(P<0.05)。观察组产妇产后出血量小于对照组,差异有统计学意义(P<0.05)。观察组产妇分娩控制量表(LAS)评分高于对照组,差异有统计学意义(P<0.05)。观察组新生儿PaCO_(2)水平均低于对照组,PaO_(2)水平、动脉血pH值、1 min Apgar评分均高于对照组,差异均有统计学意义(P<0.05)。结论转变助产服务模式下瑜伽球训练联合拉玛泽呼吸减痛法干预在初产妇自然分娩中应用价值较高,能有效降低产妇中转剖宫产率,增强产妇分娩控制感,减轻产妇分娩疼痛,降低新生儿窒息风险。
Objective To explore the application effect of yoga ball training combined with the Lamaze breathing pain relief method in natural delivery for primiparas under the change of midwifery service mode,and to provide support for formula-ting natural delivery nursing intervention plans for primiparas.Methods From April 2021 to March 2023,196 pregnant women planning vaginal delivery at the First Affiliated Hospital of Hebei North University were selected and randomly allo-cated to a control group and an observation group,with 98 cases each.The control group received conventional midwifery nursing intervention,while the observation group received yoga ball training combined with the Lamaze breathing pain relief method under the changed midwifery service mode.The final delivery methods,pain levels in each labor stage,duration of each labor stage,postpartum hemorrhage volume,and delivery control levels were compared between the two groups.The arterial oxygen partial pressure(PaO_(2)),arterial carbon dioxide partial pressure(PaCO_(2)),arterial pH,and 1-minute Apgar score of newborns were also compared.Results The vaginal delivery rate in the observation group was higher than that in the control group[88.78%(87/98)vs.76.53%(75/98)],while the cesarean section rate in the observation group was lower than that in the control group[11.22%(11/98)vs.23.47%(23/98)],with significant differences(χ^(2)=5.124,P=0.024).The observation group had significantly lower visual analog scale(VAS)scores for pain in the first,second,and third stages of labor compared to the control group(P<0.05).The duration of the first,second,and third stages of la-bor was significantly shorter in the observation group compared to the control group(P<0.05).Postpartum hemorrhage volume in the observation group was significantly less than in the control group(P<0.05).The labor agentry scale(LAS)scores were significantly higher in the observation group than in the control group(P<0.05).Newborns in the observation group had significantly lower PaCO_(2)levels and significantly higher PaO_(2)levels,arterial pH,and 1-minute Apgar scores compared to the control group(P<0.05).Conclusion The application of yoga ball training combined with the Lamaze breathing pain relief method under the change of midwifery service mode has a high value in natural delivery for primiparas,effectively reducing the cesarean section rate,promoting maternal delivery control,alleviating labor pain,and reducing the risk of neonatal asphyxia.
作者
苏玲
赵海艳
郝锦绣
刘菲
尚芯羽
Su Ling;Zhao Haiyan;Hao Jinxiu;Liu Fei;Shang Xinyu(Departmentof Obstetrics,The First Affiliated Hospitalof Hebei North University,Zhangjiakou Hebei075000,China)
出处
《保健医学研究与实践》
2024年第3期112-116,共5页
Health Medicine Research and Practice
基金
河北省2020年度医学科学研究课题计划(20200198)。
关键词
助产服务模式
瑜伽球训练
拉玛泽呼吸减痛法
初产妇
自然分娩
Midwifery service mode
Yoga ball training
Lamaze breathing pain relief method
Primiparas
Natural delivery
