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| Effects of spaced relaxation training during vaginal delivery of women on their delivery pain, labor process, and psychological state |
| The First Maternal and Child Health Care Hospital, Tongji University, Shanghai, 201204 |
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Abstract To explore the effects of spaced relaxation training during vaginal delivery of women on their delivery pain, labor process, and psychological state. Methods: From February 2021 to January 2022, 110 primiparas who wanted vaginal delivery were selected and were divided into control group and observation group (55 cases in each group) according to the maternal choice of analgesia. After the cervix opened to 2 cm, the primiparas in the control group received patientcontrolled epidural analgesia (PCEA), and the primiparas in the observation group received time-distance relaxation training. The pain situation, the duration of each stage of labor, the delivery comfort evaluated by General Comfort Questionnaire (GCQ), and the delivery control evaluated by live birth control scale (LAS), the psychological status evaluated by state anxiety scale (S-AI) and self-rating anxiety scale (SAS), and the delivery outcomes of the primiparas were compared between the two groups. Results: After intervention, the single pain duration, the heart rate change in single pain duration and the VAS score of the primiparas in the two groups after intervention had decreased significantly. The single pain duration (32.15±9.12s), the heart rate change duration in single pain (33.98±10.79s), and the VAS score (5.26±1.47 points) of the primiparas in the observation group were significantly higher than those (29.34±7.64s, 31.75±10.64s, and 2.51±0.83 points) of the primiparas in the control group (P＜0.05). The duration of the second stage of labor (60.25±13.14 min) of the primiparas in the observation group was significantly shorter than that (66.24±15.24 min) of the primiparas in the control group. The scores of GCQ (80.42±10.21 points) and LAS (168.48±20.12 points) of the primiparas in the observation group were significantly higher than those (66.84±8.95 points and 142.15±16.34 points) of the primiparas in the control group. The S-AI score (40.19±4.58 points) and the SAS score (46.26±4.76 points) of the primiparas in the observation group were significantly lower than those (43.37±4.75 points and 48.47±5.12 points) of the primiparas in the control group. The rate of oxytocin used (11.5%) and the rate of vaginal delivery of midwifery (1.9%) of the primiparas in the observation group were significantly lower than those (52.0% and 14.0%) of the primiparas in the control group. The amount of postpartum bleeding (167.4±37.5ml) of the primiparas in the observation group was significantly less than that (196.5±43.2ml) of the primiparas in the control group (all P＜0.05). Conclusions: Spaced relaxation training during vaginal delivery of the primiparas has better effect, which can reduce the pain and anxiety, shorten the second stage of labor, and improve the comfort and control of the primiparas, and which can reduce the obstetric intervention, so as to improve the delivery outcomes of the primiparas.
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