包丽耘

【摘要】 目的：探究分娩球结合自由体位助产对初产产妇产痛、分娩控制感及妊结局的影响。方法：随机选取2017年3月-2018年7月的132例来笔者所在医院分娩的初产产妇。分为对照组（66例）和研究组（66例），其中对照组采取常规的助产护理，研究组采取分娩球结合自由体位助产。观察记录两组产妇的产痛评分（VAS评分）、娩控制感评分。记录两组产妇的分娩过程总时长和产后2 h出血量，來评价两组产妇的妊娠结局。结果：研究组患者VAS评分显著低于对照组，分娩控制感评分显著高于对照组，差异有统计学意义（P<0.05）。研究组的分娩过程总时长比对照组短，产后2 h出血量明显少于对照组（P<0.05）。结论：在对初产产妇的助产中应用分娩球结合自由体位的助产方式，可以有效减轻产妇的产痛，增强产妇的分娩控制感，改善产妇的妊娠结局，值得推广应用。

【关键词】 分娩球 自由体位 助产 产痛 分娩控制感 妊娠结局

doi：10.14033/j.cnki.cfmr.2019.30.061 文献标识码 B 文章编号 1674-6805（2019）30-0-02

[Abstract] Objective： To investigate the effects of childbirth ball combined with free position on midwifery， postpartum control， and pregnancy outcome. Method： A total of 132 primiparas who came to our hospital from March 2017 to July 2018 were randomly selected. Divided into the control group （66 cases） and the study group （66 cases）. The control group received routine midwifery care， the study group took the birth ball combined with free position for midwifery. The pain scores （VAS scores） of the two groups of women were observed and the control scores of the two groups were evaluated. The total length of delivery during the two groups of women and the amount of bleeding after 2 hours postpartum were recorded to evaluate the pregnancy outcomes of the two groups. Result： The VAS scores of the study group were significantly lower than that of the control group， the control scores of the birth control were significantly higher than the control group， and the difference were significant （P<0.05）. The total length of the delivery process in the study group was shorter than that of the control group， and the amount of bleeding at 2 hours postpartum was significantly less than that of the control group （P<0.05）. Conclusion： In the primiparas midwifery， the application of the birthing ball combined with the free position of midwifery can effectively reduce the maternal pain， enhance the maternal birth control， and improve the maternal pregnancy outcome， which is worthy of popularization and application.

[Key words] Delivery ball Free position Midwifery Labor pain Sense of delivery control Pregnancy outcome

First-authors address： Huaian Huaiyin District Maternal and Child Health Hospital， Huaian 223300， China

产妇在初产时要经历极大的疼痛，传统助产中采用的仰卧位分娩体位不能帮助产妇有效的缓解分娩带来的痛苦，还会增加分娩阻力[1]，增加产妇的痛苦。在对产妇的助产护理中，采用分娩球结合自由体位的助产方式，根据实际情况对产妇的分娩体位进行灵活的调整，可以有效帮助减少产妇分娩的产痛，帮助患者提高妊娠结局，具体报道如下。

1 资料与方法

1.1 一般资料

从2017年3月-2018年7月到笔者所在医院分娩的初产产妇中随机选取132例作为本次研究的对象。所有产妇均为初产产妇，均没有精神病等相关病史，可以进行正常沟通和交流，产妇均无其他的妊娠症状（如妊娠期糖尿病、重度子痫等）。将132例产妇利用随机分组的方式分为对照组和研究组，每组66例。对照组年龄20～30岁，平均（25.83±1.85）岁，孕周37～42周，平均（39.45±1.75）。……