Effect of Lamaze method for pain-relieving delivery in primiparas

Abstract

Objective To observe the effect of Lamaze method for pain-relieving delivery in primiparas.Methods A total of 181 primiparas were chosen to the control group.The women in this group did not receive Lamaze method for pain-relieving delivery during a gestational age 5 to 9 months;and routine labor nursing and Doula assistance were used during labor and delivery.228 primiparas were assigned to the study group.They practised Lamaze method including neuromuscular control,breathing skills,and attention shift 20 to 30min daily with their husbands; in addition to Doula assistance,the nursing practice of Lamaze method were strictly performed during labor and delivery.The duration of vaginal delivery,labor patterns,and degrees of labor pain were compared between the two groups.Results There were significant differences in the process of the first stage and the total childbirth process between the two groups ( u =27.54 and u =21.14, P ＜ 0.01 for both comparisons ).The differences between natural labor and Caesarean birth had statistical significance ( x2=22.76 and x2=18.83,P＜0.01 for both comparisons ).The differences in the pain level 0 to 3 had statistical significance ( x2=14.11,x2=17.14, x2=43.12, and x2=15.44; P＜ 0.01 forall comparisons ).Conclusions Lamaze method for pain-relieving delivery can shorten duration of childbirth process,relieve level of labor pain,and strongly facilitate natural labor in primiparas.It is a valuable delivery method for clinical recommendation and application. Key words: Primipara; Lamaze method for pain-relieving delivery; Labor patterns; Stages of childbirth; Pain scale