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| Effects of phased position management combined with autonomous breath-holding force during labor of primiparas on their stages of labor, self-efficacy sensation, and maternal and infant outcomes |
| 1. Northwest Women's and Children's Hospital, Xi'an, Shaanxi Province, 7100002; 2. Yulin Hospital of Traditional Chinese Medicine, Shaanxi Province |
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Abstract To explore the effects of phased position management combined with autonomous breath-holding force during labor of primiparas on their stages of labor, selfefficacy sensation, and maternal and infant outcomes. Methods: 133 primiparas who planned to natural delivery were divided into the control group (67 cases) and study group (66 cases) by the random number table method from June 2018 to June 2020. The primiparas in the control group were given phased position management combined with conventional guided force during labor, and the primiparas in the study group were given phased position management combined with autonomous breath-holding force during labor. The labor time, the self-efficacy sensation, the maternal and infant outcomes, and the other indicators of the primiparas were compared between the two groups. Results: The time of different stages of labor of the primiparas in the study group were significantly shorter than that of the primiparas in the control group. The total labor time (432.0±100.8 min) and the maternal voluntary force time (42.3±6.2 min) of the primiparas in the study group were significantly shorter than those (508.8±105.2 min and 58.8±10.4 min) of the primiparas in the control group. The score of state anxiety scale (44.35±4.12 points) of the primiparas in the study group was significantly lower than that (51.23±4.65 points) of the primiparas in the control group, and the score of self-efficacy sensation (35.34±5.70 points) of the primiparas in the study group was significantly higher than that (28.93±5.84 points) of the primiparas in the control group (all P<0.05). There were no significant differences in the rates of uterine fatigue and postpartum hemorrhage of the women, and the neonatal asphyxia between the two groups (P>0.05). The rate of midwifery by lateral incision (9.1%) of the primiparas in the study group was significantly lower than that (26.9%) of the primiparas in the control group (P<0.05). Conclusion: Phased position management combined with autonomous breath-holding force during the labor of the primiparas can significantly shorten their labor process, can improve their sense of self-efficacy, and can reduce their rate of lateral perineal incision for midwife, so which is worthy of further clinical application or improvement.
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