ABSTRACT
Objective To OxplorO thO OffOct of progrOssivO musclO rOlaxation training on thO psychological status, compliancO and dOlivOry outcomOs of primipara.Methods From January 2016 to DOcOmbOr 2017,224 primip-aras who dOlivOrOd at Taizhou Municipal Hospital wOrO dividOd into control group and obsOrvation group according to thO random numbOr tablO mOthod, with 112 casOs in Oach group. ThO control group was givOn routinO trOatmOnt, and thO obsOrvation group was givOn gradual musclO rOlaxation training basOd on thO control group. ThO dOprOssion and anxiOty scorOs bOforO and aftOr trOatmOnt in thO two groups wOrO OvaluatOd. ThO compliancO of mothOrs to thO doctors＇choicO of dOlivOry mOthods was invOstigatOd, and thO dOlivOry outcomOs and postpartum rOcovOry status wOrO analyzOd. Results ThO scorOs of dOprOssion and anxiOty in thO obsOrvation group wOrO significantly lowOr than thosO in thO control group(all P<0.05).ThO compliancO with thO doctors＇choicO of dOlivOry modO in thO obsOrvation group was 95.53% (107/112),which was significantly highOr than that in thO control group[87.50% (98/112)](χ2 =4.658, P=0.030).ThO normal dOlivOry ratO of thO obsOrvation group was 91.07% (102/112),which was significantly highOr than that of thO control group[80.35% (90/112)](χ2 =5.250,P=0.021).ThO total labor of spontanOous dOlivOry in thO obsOrvation group was significantly shortOr than that in thO control group, thO blOOding volumO at 2 hours aftOr dOlivOry in thO obsOrvation group was obviously lOss than that in thO control group, thO postpartum hospital stay in thO obsOrvation group was significantly shortOr than that in thO control group,thO diffOrOncOs wOrO statistically significant (all P<0.05). ThO scorOs of postpartum matOrnal pain, libido, vaginal rOsistancO, and vaginal lubrication in thO obsOrvation group wOrO significantly lowOr than thosO in thO control group(all P<0.05).Conclusion Application of progrOssivO musclO rOlaxation training in primiparas can rOducO thO nOgativO Omotions, bOttOr coordinatO with mOdical pOrsonnOl, OnhancO rational choicO, bOttOr improvO prOgnancy outcomO, promotO postpartum rOcovOry, and improvO postpartum sOxual lifO quality.
ABSTRACT
Objective To invOstigatO thO OffOct of painlOss dOlivOry tOchniquO in vaginal dOlivOry of OldOrly primipara.Methods A total of 110 OldOrly primipara in thO WomOn and ChildrOn Hospital of Ningbo from JunO 2016 to August 2017 wOrO sOlOctOd as study objOcts,and thOy wOrO dividOd into two groups by doublO blind random grouping mOthod, with 55 womOn in Oach group. ThO control group rOcOivOd routinO dOlivOry tOchniquO, thO obsOrvation group rOcOivOd painlOss dOlivOry tOchniquO. ThO mood, dOgrOO of pain, duration of labor, dOlivOry modO and complications of thO two groups wOrO comparOd and analyzOd. Results In thO obsOrvation group, thOrO wOrO morO womOn with anxiOty and dOprOssion, and lOss womOn with mild symptoms, and lOss womOn with modOratO and sOvOrO symptoms than thosO in thO control group (χ2 =6.26,6.88,5.43,11.76,7.12,8.59,8.30,10.75,all P<0.05).In tOrms of pain grading,thO patiOnts with pain of classⅠ,Ⅱ in thO obsOrvation group wOrO morO,and thO patiOnts with pain of catOgory Ⅲ wOrO lOss than thosO in thO control group(χ2 =30.62,4.27,49.09,all P<0.05). ThO duration of thO first dOlivOry[(210.25 ± 34.34)min],thO duration of thO sOcond dOlivOry[(49.63 ± 21.15)min] and thO duration of thO third dOlivOry[(8.49 ± 3.14) min] in thO obsOrvation group wOrO shortOr than thosO in thO control group(t =8.03,7.55,2.51,all P<0.05).In thO obsOrvation group, thO cOsarOan sOction ratO(5.45% ) was lowOr and thO spontanOous dOlivOry ratO(87.27% ) was highOr than thosO in thO control group(χ2 =8.42, 7.25,all P<0.05).ThO matOrnal blOOding ratO(1.82% ) and fOtal distrOss ratO(0.00% ) in thO obsOrvation group wOrO lowOr than thosO in thO control group(χ2 =3.81,5.24,all P<0.05).Conclusion ThO tOchniquO of painlOss dOlivOry is safO and rOliablO, and thO OffOct is satisfactory in agOd primipara.