Clinical effect of the mobile delivery vehicle combined with special position in correcting the transverseposition during the active period of the first stage of labor

ObjectiveTo investigate the clinical effects of the mobile delivery vehicle combined with special position in correcting the transverseposition during the active period of the first stage of labor.

MethodsOne hundred and thirty patients with transverseposition diagnosed by B ultrasound and without premature rupture of membrane under trial condition were randomly divided into the experimental group and control group.The experimental group without rupture of membrane during active period could free walk on mobile delivery vehicle, and when the contraction was strong, the patients stayed in bed under the lateral position of the fetal back.The control group was given the routine care, and the patients were free to choose the lying position.The fetal head positive rate, delivery mode, first stage of labor, neonatal Apgar score and complications of maternal delivery were analyzed in two groups.

ResultsDuring the labor process, 60 cases in experimental group were transferred from the transverse occipital fetal head to the anterior occipital position, and 41 cases in control group were transferred from the transverse occipital fetal head to the anterior occipital position, and the positive rate of which in experimental group was higher than that in control group(P < 0.01).The rate of natural delivery in experimental group was higher than that in control group, and the rate of cesarean section in experimental group was lower than that in control group(P < 0.01).The incubation period and active period of the first stage of natural delivery in experimental group were shorter than those in control group, the neonatal Apgar score in experimental group was higher than that in control group, and the postpartum blood loss, soft birth canal injury rate and puerperal infection rate in experimental group were lower than those in control group(P < 0.01).

ConclusionsDuring the active period of the first stage of labor, the mobile delivery vehicle combined with special position can improve the maternal fetal head rate, natural delivery rate and Apgar score of the newborn, significantly shorten the time of the first stage of labor, and reduce the incidence rate of postpartum complications.