Effectiveness evaluation of stage management to reduce the acute pain in the first stage of labor
10.3760/j.issn.1674-2907.2014.30.016
- VernacularTitle:阶段性管理缓解初产妇第一产程急性疼痛的效果评价
- Author:
Jiahui MAO
1
;
Jiandi MA
;
Xiaofen YU
;
Ying ZHU
;
Hui WANG
Author Information
1. 310014 杭州，浙江省人民医院产科
- Keywords:
Labor stage,first;
Acute pain;
Stage management
- From:
Chinese Journal of Modern Nursing
2014;20(30):3831-3833
- CountryChina
- Language:Chinese
-
Abstract:
Objective Using the stage management to evaluate the normalized pain management and to alleviate pain of primipara during delivery and improve comfort .Methods Sixty pregnant women were selected and were divided into the control group and the observation group , each with 30 cases.The control group was given the usual care during the first stage of delivery , while the observation group was given a set of normalized pain management and alternative experiences of intervention , therapeutic massage , meditation with music and birth ball.The numerical rating scale (NRS) and visual analog score (VAS) were used to assess the degree of pain, emotions and comfort feelings .Then, the degree of pain and changes of emotions and comfort were compared between groups .Results Within the observation group , 12 primipara ( 40.00%) had mild pain, 17 primipara (56.67%) had moderate pain, 1 primipara (3.33%) had severe pain.Within the control group, 5 primipara (16.67%) had mild pain, 21 primipara (70.00%) had moderate pain, 4 primipara (13.33%) had severe pain.There was a significant difference between groups (U =2.235, P =0.025).Within the observation group, 22 primipara (73.33%) had mild discomfort, 8 primipara (26.67%) had moderate discomfort.Within the control group, 10 primipara (33.33%) had mild discomfort, 17 primipara (56.67%) had moderate discomfort , 3 primipara ( 10 .00%) had severe discomfort .There was a significant difference between groups (U=3.222, P=0.001).There was no significant difference in the emotions between groups (U=0.800,P=0.424).Conclusions The stage management can significantly reduce the pain of primipara during delivery and improve their comfort .
