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| Effects of midwifery by free position and birthing ball combined with labor analgesia instrument of primiparous on their labor pain and delivery outcomes |
| Fuyang People's Hospital, Fuyang, Anhui Province, 236000 |
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Abstract To explore the effects of midwifery by free position and birthing ball combined with labor analgesia instrument of primiparous on their labor pain and delivery outcomes. Methods: A total of 96 primiparas who wanted gave birth in hospital were selected and were divided into two groups from January 2021 to September 2022. The primiparas in the two groups were given the same general midwifery care. The primiparas in group A were given childbirth ball and free position midwifery, and the primiparas in group B were given childbirth ball and free position midwifery combined with analgesia instrument. The score of numeric rating scales (NRS)of the primiparas in the two groups was used to evaluate their degree of labor pain. The LAS scale during childbirth was used to evaluate the sense of control in labor of the primiparas. The labor process, the delivery mode, the delivery outcomes, the postpartum blood loss, the laceration of soft birth canal, and the 1min Apgar score of the newborns of the primiparas in the two groups were observed. The self-designed satisfaction scale was used to calculate the maternal satisfaction rate in the two groups. Results: The pain degree of the primiparas in group B was significantly lower than that of the primiparas in group A, and the sense of labor control of the primiparas in group B was significantly higher (P＜0.001). The time of the first stage of labor (448.1±92.3 min)or the second stage of labor (40.7±8.8 min)of the primiparas in group A was significantly longer than that (409.4±63.0 min or 33.6±7.2 min)of the primiparas in group B (P＜0.05). The time of the third stage of labor of the primiparas had no significant difference between the two groups (P＞0.05). The postpartum blood loss (198.3±28.2ml)and the perineal lateral resection rate (2.5%)of the primiparas in group B were significantly lower than those (246.1±25.5ml and 8.3%)of the primiparas in group A. The Apgar score (9.9±0.2 points)and the natural delivery rate (95.8%)of the newborns in group B were significantly higher than those (9.7±0.4 points and 83.3%)of the newborns in group A. The maternal overall satisfaction rate (97.8%)in group B was significantly higher than that (86.1%)in group A (all P＜0.05). There was no significant difference in the rate of laceration of soft birth canal ≥Ⅲ degree of the primiparas between the two groups. The rate of perineal integrity (56.5%)of the primiparas in group B was significantly higher than that (27.9%)in group A (P＜0.05). Conclusion: The labor analgesic instrument combined with the birthing ball and free position midwifery can be used as an effective way to assist the delivery of the primiparas, which can reduce their labor pain degree and improve their delivery outcomes.
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