Effect of progressive muscle relaxation training on the psychological status, compliance and delivery outcomes of primiparas

Abstract

Objective To explore the effect of progressive muscle relaxation training on the psychological status, compliance and delivery outcomes of primipara. Methods From January 2016 to December 2017, 224 primiparas who delivered at Taizhou Municipal Hospital were divided into control group and observation group according to the random number table method, with 112 cases in each group. The control group was given routine treatment, and the observation group was given gradual muscle relaxation training based on the control group. The depression and anxiety scores before and after treatment in the two groups were evaluated. The compliance of mothers to the doctors' choice of delivery methods was investigated, and the delivery outcomes and postpartum recovery status were analyzed. Results The scores of depression and anxiety in the observation group were significantly lower than those in the control group(all P<0.05). The compliance with the doctors' choice of delivery mode in the observation group was 95.53%(107/112), which was significantly higher than that in the control group[87.50%(98/112)](χ2=4.658, P=0.030). The normal delivery rate of the observation group was 91.07%(102/112), which was significantly higher than that of the control group[80.35%(90/112)](χ2=5.250, P=0.021). The total labor of spontaneous delivery in the observation group was significantly shorter than that in the control group, the bleeding volume at 2 hours after delivery in the observation group was obviously less than that in the control group, the postpartum hospital stay in the observation group was significantly shorter than that in the control group, the differences were statistically significant(all P<0.05). The scores of postpartum maternal pain, libido, vaginal resistance, and vaginal lubrication in the observation group were significantly lower than those in the control group(all P<0.05). Conclusion Application of progressive muscle relaxation training in primiparas can reduce the negative emotions, better coordinate with medical personnel, enhance rational choice, better improve pregnancy outcome, promote postpartum recovery, and improve postpartum sexual life quality. Key words: Maternal health services; Progressive muscle relaxation training; Depression; Anxiety; Pregnancy outcome; Compliance; Quality of life