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| Effects of psychological intervention during painless delivery under spinal anesthesia of women on the lactation, emotional state, and labor outcomes of the women |
| Hefei Third People's Hospital, Hefei, Anhui Province, 230022 |
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Abstract To investigate the effects of psychological intervention during painless delivery under spinal anesthesia of women on the lactation, the emotional state, and the maternal and child outcomes of the women. Methods: A total of 114 pregnant women who wanted painless delivery under spinal anesthesia were selected and were divided two groups(57cases in each groups) according to the random number table method from September 2020 to September 2022. The women in control group were given routine nursing intervention, and the women in study group were given psychological nursing intervention except the routine nursing intervention. The labor duration, the situations of lactation and pain, the negative emotions before and after delivery, the delivery mode, the maternal and infant outcomes, and the clinical nursing satisfaction of the women were compared between the two groups. Results: The durations of the first stage, the second stage, and the third stage of labor, and the total labor duration of the women in the study group were significantly lower than those of the women in the control group, while the lactation yield lactation yield in the study group was significantly higher than that of the women in the control group. The score of visual analog scale(VAS) of the women in both groups after analgesia and at the end of analgesia had decreased significantly, and which of the women in the study group was significantly lower than that of the women in the control group. After delivery, the scores of self-rating of anxiety(SAS) and self-rating of depression(SDS) of the women in both groups had decreased significantly, and which of the women in the study group were significantly lower than those of the women in the control group. The natural delivery rate(89.5%) of the women in the study group was significantly higher than that(64.9%) of the women in the control group. The cesarean section rate of the women in the study group was significantly lower than that of the women in the control group. The total incidence of adverse maternal and infant outcomes(14.0%) of the women in the study group was significantly lower than that(31.6%) of the women in the control group, and the total clinical satisfaction rate(96.5%) of the women in the study group was significantly higher than that(82.5%) of the women in the control group(all P＜0.05). Conclusion: Psychological nursing during painless delivery under spinal anesthesia of women has positive impacts on shortening the duration of labor, relieving the pain and bad mood, improving the maternal and infant outcomes and clinical nursing satisfaction of these women.
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