朱小玲

[摘要]目的 觀察并比较分娩球运动联合自由体位助产对产程进展及分娩结局的影响。方法 选取2015年12月～2016年12月在我院产科分娩的产妇200例，采用随机数字表法将其分为观察组及对照组，各100例。对照组采用传统半卧位分娩，观察组采用分娩球运动联合自由体位分娩，观察并比较两组产程进展情况及分娩结局。结果 观察组第一产程、第二产程、第三产程、总产程时间分别为（256.12±50.12）、（36.01±15.37）、（16.14±4.11）、（301.11±70.01）min，均短于对照组的（401.24±65.79）、（47.13±25.11）、（26.41±6.67）、（482.14±94.57）min，差异均有统计学意义（P<0.05）；观察组阴道分娩发生率为75%，高于对照组的43%，剖宫产率为19%，低于对照组的49%，差异均有统计学意义（P<0.05）；观察组产后大出血、新生儿窒息、吸入综合征、新生儿呼吸系统疾病的发生率（1%、1%、2%、1%）均低于对照组（8%、8%、9%、10%），差异有统计学意义（P<0.05）。结论 分娩球运动联合自由体位助产，利于促进产程加快，有效改善分娩结局，促进自然分娩率显著提高。

[关键词]分娩球运动；自由体位；助产；产程进展；分娩结局

[中图分类号] R714.3 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0084-03

Effect of delivery ball movement combined with free position midwifery on labor progress and pregnancy outcome

ZHU Xiao-ling

Department of Gynaecology and Obstetrics，Leping Maternal and Child Health Hospital，Jiangxi Province，Leping 333300，China

[Abstract]Objective To observe and compare the effect of delivery ball movement combined with free position midwifery on labor progress and pregnancy outcome.Methods 200 pregnant women with delivery in the obstetrical department of hospital from December 2015 to December 2016 were selected，and they were divided into observation group and control group according to random number table，with 100 cases in each group.The control group had delivery with traditional semi-reclining position，while the observation group took delivery ball movement combined with free position midwifery.The labor progress and pregnancy outcome were compared between the two groups.Results The time of the first stage of labor，the second stage of labor，the third stage of labor，total stage of labor in the observation group were （256.12±50.12），（36.01±15.37），（16.14±4.11），（301.11±70.01） min，which were less than （401.24±65.79），（47.13±25.11），（26.41±6.67），（482.14±94.57） min in the control group，the differences were statistically significant （P<0.05）；the incidence of vaginal delivery （75%） in the observation group was higher than that in the control group （43%），while the cesarean section rate in the observation group （19%） was lower than that in the control group （49%），the differences were statistically significant （P<0.05）；the incidence of postpartum hemorrhage，neonatal asphyxia，aspiration syndrome，respiratory disorders in the observation group （1%，1%，2%，1%） were lower than those in the control group （8%，8%，9%，10%），the differences were statistically significant （P<0.05）.Conclusion Delivery ball movement combined with free position midwifery can effectively accelerate the stage of labor，improve pregnancy outcome，increase the rate of natural delivery.endprint

[Key words]Delivery ball movement；Free position；midwifery；Labor progress；Pregnancy outcome

分娩是育龄女性的自然生理过程，产妇在分娩时存在的剧烈疼痛，常增加产妇不安、恐惧、焦虑、紧张等负性心理情绪。不良的心理情绪极易导致产妇在分娩时出现中枢神经紊乱，从而导致宫缩乏力，使得分娩时间显著延长，极易造成胎儿在宫内出现缺氧、窒息等不良情况，此外易增加产妇产后大出血风险[1]。因此，在产妇分娩时施以科学合理干预对促进产程进展、改善分娩结局极为关键。分娩球运动是产科常用的助产工具之一，利用分娩球辅助分娩，可促进产妇情绪缓解，放松心情，减少其不良情绪。自由体位是指产妇在分娩时利用站、蹲、跪、坐等不同姿势，以缩短产程，保持体力，避免体力大量消耗[2]。本研究对近两年于我院分娩的产妇100例施以分娩球运动与自由体位联合助产，旨在探讨分娩球运动联合自由体位助产对产程进展及分娩结局的影响，现报道如下。……