摘要
目的探究分娩镇痛对初产妇分娩满意度及二胎意愿的影响。方法选取2021年1月至10月在我院产房进行自然分娩的120例初产妇作为研究对象,根据是否自愿接受分娩镇痛将其分为观察组和对照组,各60例。观察组自愿接受分娩镇痛,对照组未接受分娩镇痛。比较两组的干预效果。结果第一产程潜伏期,两组的视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);第一产程活跃期、第二产程,观察组的VAS评分低于对照组,差异具有统计学意义(P<0.05)。观察组的第一产程时间长于对照组,差异具有统计学意义(P<0.05);两组的第二、三产程时间比较,差异无统计学意义(P>0.05)。两组新生儿的体重及出生后1、5、10 min的Apgar评分比较,差异无统计学意义(P>0.05)。观察组的分娩满意度高于对照组,差异具有统计学意义(P<0.05)。分娩前,两组的二胎意愿率比较,差异无统计学意义(P>0.05);分娩后,观察组的二胎意愿率高于对照组(P<0.05)。结论分娩镇痛在初产妇中的应用效果显著,有利于提高分娩满意度和二胎意愿。
Objective To study the effects of labor analgesia on delivery satisfaction and second child willingness of primipara.Methods A total of 120 primiparas who underwent natural delivery in the delivery room of our hospital from January to October 2021 were selected as the research objects.The primiparas were divided into observation group and control group according to whether they voluntarily received labor analgesia,with 60 cases in each group.The observation group voluntarily received labor analgesia,the control group did not receive labor analgesia.The intervention effects of the two groups were compared.Results During the latent period of the first stage of labor,there was no significant difference in the Visual Analogue Scale(VAS)score between the two groups(P>0.05);during the active phase of the first stage of labor and the second stage of labor,the VAS score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The time of the first stage of labor in the observation group was longer than in the control group,and the difference was statistically significant(P<0.05);there was no significant difference in the time of the second and third stages of labor between the two groups(P>0.05).There were no significant differences in neonatal weight and Apgar scores at 1,5,10 min after birth between the two groups(P>0.05).The delivery satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before delivery,there was no significant difference in the willingness rate of second child between the two groups(P>0.05);after delivery,the willingness rate of second child in the observation group was higher than that in the control group(P<0.05).Conclusion Labor analgesia for the primipara has a significant application effect,which is conducive to improving the delivery satisfaction and the second child willingness.
作者
周晓娟
周丹丹
姜娜
ZHOU Xiaojuan;ZHOU Dandan;JIANG Na(Anesthesiology Department,Northwest Women's and Children's Hospital,Xi'an 710061,China)
出处
《临床医学研究与实践》
2022年第30期138-141,共4页
Clinical Research and Practice
基金
陕西省卫生健康科研基金项目(No.2021A013)。
关键词
初产妇
分娩镇痛
分娩满意度
二胎意愿
primipara
labor analgesia
delivery satisfaction
second child willingness
作者简介
周晓娟(1984-),女,主治医师,硕士。研究方向:产科麻醉;通讯作者:姜娜,E-mail:1497928763@qq.com.
