Application effects of free body position with delivery vehicles in the first late stage of labor and the second stage of labor
10.3760/cma.j.issn.1674-2907.2017.14.008
- VernacularTitle:自由体位配合分娩车在第一产程晚期及第二产程的应用效果
- Author:
Ya'nan WANG
1
;
Changmei LIN
Author Information
1. 100080,北京市海淀区妇幼保健院产房
- Keywords:
Labor;
Stage of labor;
Pain;
Free body position
- From:
Chinese Journal of Modern Nursing
2017;23(14):1860-1862
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effects of free body position with delivery vehicles in the first late stage of labor and the second stage of labor, and to choose a proper delivery position for parturient women.Methods Totally 208 primiparas who had term and spontaneous labor in single pregnancy and head position between August and September 2015 in a maternal and child health hospital were selected and allowed to get out of bed at their will in the first late stage of labor and the second stage of labor. Midwives accompanied and instructed parturient women to use free body position with delivery vehicles, and when head visible on vulval gapping for 2 cm×2 cm, assisted the parturient women for conventional delivery on delivery beds. And 175 primiparas awaiting delivery using traditional horizontal position and fowler position between August and September 2014 were selected as a control group. Then their time of the second stage of labor, intrapartum hemorrhage, perineal laceration or episiotomy, forceps delivery, Apgar scores and body weight of neonates were compared.Results There was no statistical difference in the second stage of labor, intrapartum hemorrhage, perineal episiotomy and forceps delivery between the parturient women using free body position with delivery vehicles and those using traditional horizontal position and fowler position in the first late stage of labor and the second early stage of labor (P>0.05). With the use of free body position with delivery vehicles, the parturient women's VAS was decreased from (8.11±1.59) to (6.49±1.90) (t=13.16,P<0.001).Conclusions Based on the evaluation of engagement, the use of free body position with delivery vehicles in the first late stage of labor until their delivery on bed in the second stage of labor is safe for parturient women and helps to reduce their delivery pain substantially.
