Study on the health and self-efficacy of pregnant women in delivery with music analgesia and labor doula / Estudo sobre a saúde e autoeficácia de gestantes no parto com analgesia induzida por música e apoio de doula / Efectos del parto en la salud y la autoestima de la mujer embarazada

ABSTRACT To explore the effect of delivery supported by a labor doula combined with music therapy on stabilizing maternal psychology and improving delivery quality, and to find out the predictors of delivery self-efficacy. Statistical processing showed that P<0.05, which was statistically significant. Group was superior in numerical value, followed by the B group. Using the rank sum test, the pain grade of the experimental group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). T test or χ2 test showed that the total labor time of the experimental group was shorter than that of the control group. Vaginal delivery rate was higher than that of the control group, and the cesarean section rate was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: Doula delivery combined with music therapy is effective in parturient delivery, which can alleviate parturient pain, speed up labor progress and improve delivery quality, and is worthy of popularization and application. At the same time, increasing pregnant women's understanding of delivery strategies and techniques and improving their psychological state will help improve the level of delivery self-efficacy of pregnant women.

RESUMO Explorar o efeito do parto apoiado por doulas combinado com a terapia musical em estabilizar o estado psicológico materno e melhorar a qualidade do parto, e descobrir os indicadores de autoeficácia do parto. O processamento estatístico mostrou que P<0.05, o que foi estatisticamente significativo. O Grupo foi superior em valor numérico, seguido pelo Grupo B. Por meio do teste da soma dos ranks, o grau de dor do grupo experimental foi significativamente menor do que o do grupo controle, e a diferença foi estatisticamente significativa (P<0.05). O teste de T ou teste de χ2 mostrou que o tempo de trabalho de parto total do grupo experimental foi mais curto do que o do grupo controle. A taxa de parto normal foi maior do que a do grupo, e a taxa de cesariana foi menor do que a do grupo controle, e a diferença foi estatisticamente significativa (P<0.05). Conclusão: O parto feito com doulas combinado com a terapia musical é eficaz para a parturiente, podendo aliviar a dor do parto, acelerar o trabalho de parto e melhorar a qualidade do parto, merecendo maior popularização e aplicação. Ao mesmo tempo, aumentar a compreensão das gestantes sobre estratégias e técnicas de parto e melhorar seu estado psicológico ajudará a melhorar o nível de autoeficácia do parto dessas mulheres.

RESUMEN Explorar el efecto del parto apoyado por una doula combinado con musicoterapia para estabilizar el estado psicológico materno, mejorar la calidad del parto, y descubrir los predictores de la autoeficacia del mismo. El procesamiento estadístico mostró P <0.05, lo que fue estadísticamente significativo. El grupo fue superior en valor numérico, seguido por el grupo B. Usando la prueba de la suma de rangos, el grado de dolor del grupo experimental fue significativamente más bajo que el del grupo de control, y la diferencia fue estadísticamente significativa (P <0.05). La prueba T o la prueba χ2 mostraron que el tiempo total de trabajo del grupo experimental fue más corto que el del grupo de control. La tasa de parto vaginal fue mayor que la del grupo de control, y la tasa de cesáreas fue menor que la del grupo de control, y la diferencia fue estadísticamente significativa (P <0.05). Conclusión: El parto con doulas combinado con musicoterapia es eficaz, puede aliviar el dolor de las parturientas, acelerar el progreso del parto y mejorar la calidad del mismo, y es digno de popularización y aplicación. Al mismo tiempo, aumentar la comprensión de las mujeres embarazadas sobre las estrategias y técnicas de parto y mejorar su estado psicológico ayudará a mejorar el nivel de autoeficacia del parto de las mujeres embarazadas.

Application of Doula delivery combined with delivery ball midwifery in VBAC patients / 中国实用护理杂志

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.

Application of PDCA Quality Management Combined with Hospital Quality Control System in Doula Delivery of Primipara / 沈阳医学院学报

Objective:To explore the application effect of PDCA quality management combined with hospital quality control system in Doula delivery of primipara.Methods:Our hospital started to implement the quality management model of PDCA from Jul 2014. According to the different nursing management methods, primipara were divided into treatment group and control group. Primipara in control group from Jan 2013 to Jun 2014 received the traditional nursing mode,primipara in the treatment group from Jul 2014 to Sep 2015 received PDCA quality management combined with hospital quality control system in Doula delivery.Nursing satisfaction, the production process of the status, mode of delivery, postpartum hemorrhage, neonatal outcome were compared between the two groups.Results:In the treatment group,the first,second,third and the total labor time were significantly shorter than that in the control group (P<0??05).The probability of natural childbirth way in the treatment group was significantly higher than that in the control group,postpartum hemorrhage amount was significantly less than that in the control group (P<0??05),the rate of neonatal asphyxia was significantly lower than that in the control group,Apgar score was significantly higher than that in the control group (P<0??05). Nursing satisfaction in the treatment group was higher than that in the control group (P<0??05). Conclusion:The clinical efficacy of PDCA quality management combined with hospital quality control system in Doula delivery of primipara can be effectively improved,can significantly shorten labor time,and improve the neonatal outcome.

Study on the effect of the active phase of Doula delivery ball apparatus combined with correct occipitoposterior / 中国综合临床

Objective To investigate the effect of Doula delivery ball apparatus combined with correct occipitoposterior.Methods Four hundred primiparas whose dilatation of cervix of 3 cm and position of foetus was occipitopostenor position, were randomly divided into observation group and control group according their wishes, and each group of 200 cases.Doula delivery ball was used for the observation group,while the free body position, the traditional delivery mode was the control group.The vaginal delivery rate, degree of pain, postpartum 2 h bleeding volume and neonatal asphyxia rate were compared between the two groups.Results The degree of pain Ⅲ degree was 4.0％ (8/200) ,lower than the control group(50.0％ (100/200), x2 =11.55,P＜0.01).The vaginal delivery rate in observation group was 84.5％ (169/200), higher than that in control group (60.5％ (121/200);x2 =28.905,P=0.001).Postpartum 2H bleeding was (156.3±53.2) ml, lower than the control group((268.1±54.6) ml, t =20.70, P＜0.01).The Postpartum bleeding rate was 0.5％ (1/200), lower than that in control group (4.0％ (8/200) ,P =0.018).Conclusion Doula delivery ball is applied to the first active stage of labor can effectively relieve pain, promote the safety of natural childbirth.