Effect of the new labor standard on both incubation period activity management and birth experience of primipara
10.3760/cma.j.issn.1674-2907.2017.09.013
- VernacularTitle:新产程标准在初产妇潜伏期活动管理与分娩体验中的应用效果
- Author:
Jiahui MAO
1
;
Fen XU
;
Guijun CHEN
Author Information
1. 浙江省人民医院产科
- Keywords:
New labor standard;
Latent phase;
Pelvis;
Maternal position;
Primipara
- From:
Chinese Journal of Modern Nursing
2017;23(9):1235-1239
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of new labor standard management on the incubation period of labor primipara.Methods Totals of 100 cases of labor primipara with full-term pregnancy, monocyesis, heading, and without pregnancy complications from May 2015 to March 2016 were selected and divided into two groups, and 50 cases for each group. Then, combined with the delivery position chart, the midwife explained and instructed the off-bed pelvis rocking movement. New labor standards were used for observation group. In observation group, instinctive and comfortable postures combined with appropriate position guidance were used during the period from formal parturiency to 6 cm-opening of mouth womb; For the control group, Friedman birth chart was used without obvious active medical intervention in the progress of labor, while position changes and obstetrical routine care were consistent with that of the observation group; Visual analogue scale method (VAS) was used to observe the incubation period (latent phase, LP), contractions pain, low back pain and lower abdomen pressure before and after event; By using visual analog anxiety scale(VAS-A), anxiety and satisfaction were measured.Results Contraction pain, low back pain, abdominal pressure and anxiety in observation group before and after the event were remarkably improved than that of control group (P<0.05). The delivery time of observation group was shorter than that of control group. The normal births rate of observation group (86%) was higher than that of control group (66%). Two-hour postpartum hemorrhage quantity was also significantly different between the two groups (P<0.05). There were no significant differences for neonatal Apgar 1 min, 5 min scores between the two groups (P>0.05). Remarkable difference was observed for satisfaction scores between the two groups (P<0.05).Conclusions New labor standard management for incubation period may promote vaginal delivery women to establish self-confidence and to improve normal birth rate.
