庄晓燕

[摘要] 目的 分析分娩球运动配合自由体位助产对产妇产程及分娩结局的影响。方法 方便选取2015年8月—2016年4月在该院进行分娩的产妇204例，将所有产妇随机分为两组。各102例。对照组采用传统待产体位，观察组采用分娩球运动配合自由体位助产，比较两组分娩结局、产程进展情况。 结果 观察组自然分娩率为76.47%，高于对照组29.41%，剖宫产及产钳助产率为13.73%、9.80%，均低于对照组，差异有统计学意义（P<0.05）；观察组第一产程为（248.69±50.22）min，第二产程为（36.12±15.47）min，第三产程为（16.24±3.88）min及总产程时间为（301.05±69.57）min，均低于对照组，差异有统计学意义（P<0.05）。 结论 分娩球运动配合自由体位助产可加快产程、改善分娩结局、提高自然分娩率，在临床应用中值得推广。

[关键词] 分娩球运动；自由体位；助产；产程；分娩结局

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0060-03

[Abstract] Objective To analyze the effect of birthing ball sports and free positions to help a primipara in labor on the labor course of delivery women and delivery outcome. Methods 204 cases of delivery women giving birth in our hospital from August 2015 to April 2016 were convenient selected and randomly divided into two groups with 102 cases in each， the control group adopted the traditional predelivery body position， and the observation group adopted the birthing ball sports and free positions to help a primipara in labor， and the delivery outcome and progress of labor course of the two groups were compared. Results The natural delivery rate in the observation group was higher than that in the control group（76.47% vs 29.41%）， and the cesarean delivery and forceps delivery rate was respectively 13.73% and 9.80%， which were lower than that in the control group， and the difference had statistical significance（P<0.05）， and the first labor course time， second labor course time， third labor course time and total labor course time were respectively（248.69±50.22），（36.12±15.47），（16.24±3.88）min and（301.05±69.57）min， which were lower than that in the control group， and the difference had statistical significance（P<0.05）. Conclusion The birthing ball sports and free positions to help a primipara in labor can accelerate the labor course， improve the delivery outcome and improve the natural delivery rate， which is worth clinical promotion in clinic.

[Key words] Birthing ball sports； Free position； Help a primipara in labor； Labor course； Delivery outcome

分娩是自然的生理过程，但在分娩时产生的剧痛将会给产妇带来严重的疼痛，增加焦虑、不安及恐惧等不良情绪，这些不良情绪将引发产妇中枢神经紊乱，造成宫缩乏力、延长分娩时间，使胎儿宫内缺氧及产妇产后大出血几率大大增加[1-2]。分娩球是产科的助产工具，在分娩球的辅助下，产妇可放松心情，减轻不良情绪。自由体位指产妇在分娩时采用坐、跪、蹲、站等姿势，缩短产程，减少体力消耗[3-4]。该研究方便选取2015年8月—2016年4月在该院进行分娩的产妇204例，分析分娩球运动配合自由体位助产对产妇产程及分娩结局的影响，现报道如下。

1 资料与方法

1.1 一般资料

方便选取在该院进行分娩的产妇204例，所有产妇均为单胎足月妊娠，且无妊娠期合并症，排除存在严重的肝肾功能异常的产妇。将所有产妇随机分为两组。观察组102例，年龄20～35岁，平均年龄（27.52±2.19）岁；孕周38～41周，平均孕周（39.58±1.05）周。对照组102例，年齡21～35岁，平均年龄（27.14±2.38）岁；……