Influence of birth ball and free position in psychological status, labor pain and birth control sence of pregnant women

Abstract

Objective To investigate influence of birth ball and free position in psychological status , labor pain and birth control sence of pregnant women.Methods In our hospital from October 2011 to December 2013 , 208 pregnant women were selected who accepted natural childbirth.Pregnant women were randomly divided into two groups.104 pregnant women were treated with traditional supine or semire-cumbent position during pregnancy and delivery as control group.104 pregnant women were treated with birth ball and free position as obser-vation group.Anxiety was evaluated by Hamilton Anxiety Scale （ HAMA ） .Depression was evaluated by Hamilton Depression Scale （ HAMD） .Pain was evaluated by Visual Analogue Scale （ VAS ） .Birth control sence was evaluated by Labor Agentry Scale （ LAS ）.Psychological status , labor pain, birth control sence and delivery outcome were compared between two groups.Results After delivery, HA-MA score and HAMD score decreased significantly in two groups.HAMA score, HAMD score, VAS score in observation group were signifi-cantly lower than those in the control group.LAS score in observation group was significantly higher than that in the control group.First stage of labor, second stage of labor, third stage of labor, total labor, postpartum 2h bleeding volume in observation group were significantly less than those in the control group.Differences were statistically significant （ P〈0.05 ） .Conclusions Birth ball and free position can signifi-cantly improve psychological status of pregnant women , significantly reduce maternal pain and improve birth control sence.That is worthy of clinical use. Key words: Birth ball; Free position; Psychological status; Labor pain; Birth control sence