ABSTRACT
Objective To discuss the application value of Doula delivery combined with delivery ball (vaginal birth after in cesarean, VBAC) in patients. Methods 80 cases of successful VBAC delivery in our hospital are randomly selected from January to September, 2017 as observation group, with patients who are given Doula delivery combined with delivery ball midwifery and continued monitoring of fetal heart rate; Another 80 cases of successful VBAC delivery in our hospital are randomly selected from January to December, 2016 as comparison group, with patients who are given free position delivery and continued monitoring of fetal heart rate. Results The incidence of gradeⅡpain in the two groups was 81.25% (65/80), which was higher than that of the control group (56.25% (45/80) ); The incidence of gradeⅢ pain was 16.25% (13/80), which was lower than that of the control group(37.50% (30/80) ). The difference between the 2 groups was statistically significant (χ2=11.64, 9.19, P<0.01). In the first stage of labor, the observation group was (290.02 ± 181.41) min, and the control group was (510.15 ± 91.22) min, and the 2 groups were statistically significant (t=-9.696, P<0.01). There was no significant difference in the amount of bleeding, neonatal score and neonatal asphyxia rate at the second, third stage of labor (P>0.05). Conclusions Doula delivery combined with birthing midwifery can be used in the delivery of VBAC. It can relieve pain and shorten the first stage of labor, which is worthy of promotion.
ABSTRACT
Objective To evaluate the clinical effect and safety of intravenous administration of phloroglucinol combined with delivery of ball-assisted free position in parturient women during labor.Methods One hundred and fifty-two primiparous women who were treated by vaginal delivery from June 2015 to August 2016 in Beijing Navy General Hospital were selected as the study subjects.They were given 80 mg of phloroglucinol diluted in saline injection intravenous injection.Observation group were treated with childbirth.Control group treated with traditional supine or lateral body.Results The rate of descending of the observed group was longer than that of the control group((1.09±0.22) cm/h vs.(0.83±0.15) cm/h),the first labor time,the second labor time and the total labor time of the observation group were shorter than the control group((9.57±1.71) h vs.(12.13±2.64) h,(35.75±8.68) min vs.(61.21±10.03) min,(11.34±1.96) h vs.(14.66±2.70) h),the difference between the two groups was statistically significant(t=3.611,4.204,3.307,3.456,P0.05).The percentage of vaginal delivery in the observation group was 89.47%(68/76),significantly higher than that in the control group(73.68%(56/76)),the difference was statistically significant(χ2=4.514,P<0.05).The incidence of vaginal midwifery was 1.32%(1/76) and that of cesarean section was 9.21%(7/76) of observation group,significantly lower than that in control group(5.26%(4/76),21.05% (16/76)),the difference was statistically significant(χ2=5.323,4.376,P<0.05).Observation group 24 h postpartum hemorrhage was (273.12±58.23) ml,significantly less than the control group((385.42±70.13) ml),the difference between the two groups was statistically significant(t=3.744,P<0.05).The observation group had postpartum hemorrhage of 1.32%(1/76),urinary retention of 2.63%(2/76),and the percentage of neonatal asphyxia of 2.63%(2/76),were lower than that of the control group(5.26%(4/76),10.53%(8/76),9.21%(7/76)),the difference between the two groups was statistically significant(χ2=4.103,4.925,4.421,P<0.05).Conclusion The delivery of ball-assisted free-body delivery in active stage of delivery can promote natural childbirth.The medical staff should update the concept of delivery and raise awareness to encourage the use of phloroglucinol combined with free-body delivery.
ABSTRACT
Objective:To investigate the effect of Ramaze pain relief delivery method combined with delivery ball care on the outcome of delivery. Methods:A total of 90 puerpera who got antenatal examination and delivered in our hospital from Aug 2014 to Jun 2015 were selected and divided into 2 groups by random number table method. And 45 cases in the control group received conventional delivery care, while 45 cases in the observation group received Ramaze pain relief delivery method combined with delivery ball care. Their outcomes of delivery were observed. Results:Delivery process in the observation group were significantly shorter than in the control group (P<0.05) . The occurrence rate of maternal fetal abnormalities, uterine atony, fetal intrauterine distress in the observation group was 4.44%, which was significantly less than 33.33% in the control group (P<0.05) . Conclusions:Ramaze pain relief delivery method combined with delivery ball care can shorten delivery process,reduce the rate of dystocia,and reduce maternal pain. It is important in improving the prognosis of mothers and their infants,and worthy of promotion.