Abstract
Objective:To analyze the clinical effect of delivery ball and free position delivery nursing in primipara delivery.Methods:Total 110 primipara who were admitted to the department of gynecology and obstetrics of our hospital from August 2017 to August 2018 were included in the study. They were randomly divided into an observation group and a control group, 55 each group. The control group adopted conventional nursing measures, while the observation group adopted delivery ball combined with free position midwifery nursing on the basis of conventional nursing. The pain degree, comfort degree, pregnancy outcome and sense of delivery control were compared between the two groups.Results:The number of puerperae with grade 0 and 3 labor pain in the two groups had no statistically significant difference (P>0.05). The number of puerperae with grade 1 and 2 had significant difference (P<0.05). As to the comparison of the delivery mode between the two groups, there were 9 cases of cesarean delivery and 46 cases of vaginal delivery in the observation group; there were 19 cases of cesarean delivery and 36 cases of vaginal delivery in the control group; the differences had statistical significance (P<0.05). In the comparison of the birth process time of the vaginal delivery puerperae, the time of the first and second stages of labor in the observation group was shorter than that in the control group, and the differences were statistically significant (P<0.05); there was no difference in the time of the third stage of labor between the two groups (P>0.05). The amount of hemorrhage of the observation group 2 hours after labor was 172.50±40.60 mL and that of the control group was 224.45±32.80 mL; the difference between the two groups was statistically significant (P<0.05). The sense of delivery control of the puerperae who suffered vaginal delivery was compared between the two groups using Labor Agentry Scale (LAS); the sense of delivery control of the observation group was stronger than that of the control group, and the differences had statistical significance (P<0.05).Conclusion:In the delivery of primipara, delivery ball combined with free position delivery can help the primipara relieve pain, improve comfort degree, reduce the amount of postpartum hemorrhage, shorten the duration of various stages of labor, and improve the delivery outcome. It has a high clinical promotion value.
Highlights
Delivery is a special physiological process of human beings
Some puerperae choose cesarean section in order to avoid pain in the delivery process, but cesarean section is relatively unfavorable to the outcome of mothers and infants, and it is easy to increase the risk of postpartum hemorrhage; it is not advocated in clinic.[5,6]
Comparison of postpartum hemorrhage volume and duration of labour between two groups: In the comparison of puerperae who delivered via vagina, the amount of postpartum haemorrhage within 2h in the observation group was significantly lower than that in the control group (P
Summary
Delivery is a special physiological process of human beings. For women; pregnancy and delivery are both stressful events. In the process of delivery, women will have negative emotions, such as fear, anxiety, etc., especially primiparae.[1,2] In addition, uterine contraction will aggravate. Pak J Med Sci March - April 2020 Vol 36 No 3 www.pjms.org.pk 550 maternal negative emotions, from psychological behavior to physical performance. If puerperae are excessively anxious and nervous, the increased release of catecholamine in the body will lead to hypertension and tachycardia and induce uterine inertia, which will prolong the delivery; the severe consumption of strength may cause difficult labor, which can threaten the safety of mother and infants.[3,4] Some puerperae choose cesarean section in order to avoid pain in the delivery process, but cesarean section is relatively unfavorable to the outcome of mothers and infants, and it is easy to increase the risk of postpartum hemorrhage; it is not advocated in clinic.[5,6] Choosing the appropriate way to improve the natural delivery rate and improve the perception of the delivery process has become a clinical problem to be faced
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