Effects of free-posture parturition on parturition outcomes and pelvic floor function in puerperae
10.3760/cma.j.issn.1674-2907.2018.14.012
- VernacularTitle:自由体位分娩对产妇分娩结局及盆底功能的影响
- Author:
Jing ZHANG
1
;
Jianghong CHEN
;
Li LIU
;
Jiajing LIN
;
Min HU
;
Ying HUANG
Author Information
1. 广西医科大学第四附属医院妇产科
- Keywords:
Parturition;
Free-posture;
Parturition outcome;
Pelvic floor function
- From:
Chinese Journal of Modern Nursing
2018;24(14):1657-1660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of free-posture parturition on the parturition outcomes and pelvic floor function of puerperae. Methods Totally 270 pregnant women who met the requirements were divided into an observation group (n=135) and a control group (n=135) by the prospective randomized controlled clinic trail. Pregnant women in the observation group adopted free-posture parturition, while pregnant women in the control group delivered in the frequently used supine position. The pregnant women in both groups were managed according to the existing labor standards, and the effects of free-posture parturition on their parturition outcomes and pelvic floor function were observed. Results Totally 133 pregnant women in the observation group delivered naturally and 2 transferred to cesarean parturition in the process, while 102 pregnant women in the control group delivered naturally and 33 transferred to cesarean parturition in the process (χ2=31.55, P<0.001). The uniparae in the observation group spent less time in the first and second stages of labor as well as the whole parturition than the uniparea in the control group (P<0.001). There was no statistically significant difference in the duration of labor stage between the multiparae in the two groups (P> 0.05). The uniparae in the observation group were less likely to show reduced typeⅠand typeⅡ muscle fiber strength than the uniparae in the control group (P<0.05), while there was no statistically significant difference in the incidence of reduced typeⅠand type Ⅱ muscle fiber strength between the multiparae in the two groups (P>0.05). There was no statistically significant difference in the incidence of urinary incontinence between the puerparae in the two groups (P>0.05). Conclusions The use of free-posture parturition can reduce the possibility of cesarean parturition substantially. The duration of labor stage in uniparae can be shortened significantly, and their pelvic floor muscle strength is better than that of the puerparea in the control group. Free-posture parturition does not contribute to negative outcomes of maternals and fetals.
