Impacts of individualized birth process management on birth outcomes of low-risk parturient unipara
10.3760/j.issn.1674-2907.2014.08.016
- VernacularTitle:个体化产程管理对低危临产初产妇分娩结局的影响
- Author:
Hong ZHOU
1
;
Bei LIU
;
Li CHEN
;
Xia LEI
;
Zhenli LIANG
Author Information
1. 310006 杭州市第一人民医院妇产科
- Keywords:
Parturient women;
Spontaneous labor;
Stage of labor;
Delivery position;
Birth outcome
- From:
Chinese Journal of Modern Nursing
2014;20(8):906-908
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the impact of individualized birth process management on birth outcomes of low-risk parturient unipara .Methods 729 parturient women were divided into the experimental group ( n=503 ) and the control group ( n=226 ) .The free position during labor was used in the control group . In the experimental group , individualized labor movements and pre-delivery positions were provided to improve the birth outcome .The incidence of emergency cesarean section and use of obstetric forceps were compared between groups .Results A total of 468 parturient women in the experimental group were in spontaneous labor , with an incidence of 93.04%;198 parturient women in the control group were in spontaneous labor , with an incidence of 87.6%.The use of obstetric forceps in the experimental group was 1.59%, which was lower than 3.98%in the control group .Twenty-six parturient women in the experimental group went through emergency cesarean section , with an incidence of 5.17%; nineteen parturient women in the control group went through emergency cesarean section , with an incidence of 8.41%.The difference was significant between groups (χ2 =6.97 ,P<0.05 ) .The most frequent labor position in the experimental group was semireclining position , with an incidence of 90.46%.The least use labor position was kneeling-squatting position , with an incidence of 4.57%.Conclusions The Individualized birth process management can significantly decrease the rate of emergent cesarean and forceps delivery .
