Effects of acupressure in free position combined with modest protection of perineum on delivery outcomes / 中华护理杂志

ABSTRACT

Objective To study the effects of acupressure in free position combined with modest protection of perineum on delivery outcomes.Methods A total of 250 puerperae with natural childbirth from June 2014 to June 2016 in a maternity and child care hospital in Hainan Province were recruited and divided into the experimental group(125 cases) and the control group(125 cases) using random number table.Two groups gave birth through free position combined with modest protection of perineum.On this basis,the experimental group received acupressure.Cesarean section rate,episiotomy rate,forceps delivery rate,perineal laceration degree,perineal pain degree,postpartum hemorrhage rate and neonatal asphyxia rate,weight,and Apgar score of the two groups were compared.Results Eventually a total of 231 puerperae completed clinical research,with 117 cases in the experimental group and 114 cases in the control group.For the experimental group,cesarean section rate and episiotomy rate were lower,perineal laceration degree and perineal pain degree were reduced,postpartum hemorrhage was less and neonatal Apgar score was improved compared with those in the control group,and the differences were statistically significant(P＜0.05 or 0.01).Conclusion The acupressure in free position combined with modest protection of perineum can lower cesarean section rate and maternal episiotomy rate,reduce perineal laceration,relieve perineal pain,prevent postpartum hemorrhage and neonatal asphyxia.It can effectively improve maternal and neonatal delivery outcomes.