孕晚期分娩球运动锻炼对产程及分娩结局的影响

    Effect of the delivery ball exercise in later pregnancy on the stages of labor and pregnancy outcome

    • 摘要: 目的:观察孕晚期分娩球运动锻炼对产程及分娩结局的影响。方法:选取孕晚期初产妇122例,按照随机数字法分为观察组和对照组,各61例。对照组孕妇按时产检,常规指导孕期注意事项及分娩;观察组孕妇从孕36周开始接受分娩球运动法培训,掌握分娩球锻炼方法。比较2组产妇疼痛程度、分娩方式、产时用药、产程时间及产后出血和新生儿窒息发生率。结果:观察组疼痛缓解程度显著低于对照组(P<0.01);观察组阴道分娩率高于对照组(P<0.05),产时哌替啶、地西泮和缩宫素的使用率也显著低于对照组(P <0.05~P <0.01)。观察组产妇第一产程和第二产程时间均显著短于对照组(P<0.01)。观察组产妇产后出血及新生儿窒息发生率均低于对照组(P<0.05)。结论:孕晚期分娩球运动锻炼能减轻分娩疼痛,缩短产程,促进自然分娩,并有助于降低产妇产后出血及新生儿窒息发生率。

       

      Abstract: Objective:To observe the effects of the delivery ball exercise in later pregnancy on the labor and pregnancy outcome.Methods:One hundred and twenty-two later pregnancy women were randomly divided into the observation group and control group(61 cases each group).The control group was timely antepartum examined and guided about delievery,and the observation group was trained using the delivery ball.The pain degree,delivery way,labor time,and incidence rates of postpartum hemorrhage and neonatal asphyxia between two groups were compared.Results:The pain relief degree in observation group was significantly lower than that in control group(P<0.01).The vaginal delievery rate in observation group was significantly higher than that in control group(P<0.05).The use rates of the pethidine,diazepam and oxytocin at intrapartum in observation group were lower than those in control group(P <0.05 to P <0.01).The first and second labor times in observation group were significantly shorter than those in control group(P<0.01).The incidence rates of postpartum hemorrhage and neonatal asphyxia in observation group were lower than those in control group(P<0.05).Conclusions:The delivery ball exercise can relieve pain,shorten the labor,promote natural childbirth and reduce the incidence rates of postpartum hemorrhage and neonatal asphyxia.

       

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