CAJ | 학술논문

目的：探讨水疗配合自由体位助产对初产妇分娩的影响。方法将138例初产妇随机分为对照组与观察组，每组各69例。对照组采用导乐陪伴分娩，即宫口开大至3 cm后采取传统卧位或半卧位待产及分娩；观察组在导乐陪伴分娩基础上采取水疗配合自由体位待产及分娩。观察两组产妇各产程及总产程时间、产后2 h出血量、新生儿1 min Apgar评分，分娩方式及产妇疼痛、焦虑、分娩控制感情况。结果观察组产妇第一产程、第二产程及总产程时间明显较对照组缩短，产后2h出血量明显较对照组减少，疼痛、焦虑程度明显较对照组降低，分娩控制感程度明显高于对照组，两组比较，均P＜0.05；而自然分娩率、剖宫产率、会阴侧切率及新生儿1 min Apgar评分比较，差异无统计学意义（均P＞0.05）。结论水疗配合自由体位助产能缩短产妇产程，降低产妇产痛及焦虑程度，提高产妇分娩控制感和舒适感。
목적：탐토수료배합자유체위조산대초산부분면적영향。방법장138례초산부수궤분위대조조여관찰조，매조각69례。대조조채용도악배반분면，즉궁구개대지3 cm후채취전통와위혹반와위대산급분면；관찰조재도악배반분면기출상채취수료배합자유체위대산급분면。관찰량조산부각산정급총산정시간、산후2 h출혈량、신생인1 min Apgar평분，분면방식급산부동통、초필、분면공제감정황。결과관찰조산부제일산정、제이산정급총산정시간명현교대조조축단，산후2h출혈량명현교대조조감소，동통、초필정도명현교대조조강저，분면공제감정도명현고우대조조，량조비교，균P＜0.05；이자연분면솔、부궁산솔、회음측절솔급신생인1 min Apgar평분비교，차이무통계학의의（균P＞0.05）。결론수료배합자유체위조산능축단산부산정，강저산부산통급초필정도，제고산부분면공제감화서괄감。
Objective To explore the effect of spa with free position on parturition of primipara.Methods One hundred and thirty-eight primiparas were equally randomized into control group and observation group. The control group conducted Doula delivery,which means a delivery at recumbent or semi-recumbent position when mouth of the uterus opened by 3 cm and the primiparas in the observation group took free position with spa based on Doula delivery. The two groups were compared in terms of the durations of each labor and total labor, postpartum bleeding 2 h after delivery and neonatal Apgar score,delivery way,pains,anxiety and feeling of control at delivery.Results The postpartum bleeding in the observation group was significantly lower than that in the control group(P<0.05). The durations of first labor, second labor and total labor in the observation group were all significantly shorter than those of the control. The degrees of pain and anxiety were lower than those of the control group,while the control sense at delivery was better than that of the control group(P<0.05,for all). There were no differences in the rate of spontaneous delivery,the rate of uterine-incision delivery,the rate of episiotomy and scores on 1 min Apgar scales(P>0.05).Conclusion Aided delivery by spa with free position can reduce labor pain and anxiety levels,improve the birth control and comfort and ultimately enhance the sense of delivery control and comfort.