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| Application of midwife-led standardized pain nursing combined with free position technique in vaginal delivery of primiparas |
| GAO Ling1, LU Tianhui1, LIU Shuhua2, SHI Jingfa3, NI Na4, LONG Yufen1 |
| 1. Delivery Center, 2. Major Obstetrics Department, 3. Anesthesiology Department, 4. Hospital infection Management Department, Hefei Maternal and Child Health Hospital, Hefei 230000, China |
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Abstract Objective To explore the application effect of midwife-led standardized pain nursing combined with free position technique in vaginal delivery of primiparas. Methods According to random number table method, 186 primiparas undergoing delivery in Hefei Maternal and Child Health Hospital were divided into control group (93 cases) and study group (93 cases) between January 2022 and December 2023. On basis of routine perinatal nursing, control group was given routine pain management, while study group was given midwife-led standardized pain nursing combined with free position technique. The differences in delivery pain [visual analogue scale (VAS) ], psychological state, perinatal indexes, incidence of adverse delivery outcomes and intraspinal adverse reactions, and satisfaction rate between the two groups were compared. Results Before delivery, there was no significant difference in VAS scores between the two groups. VAS scores in study group were lower than those in control group during different stages of labor and after delivery. After intervention, scores of childbirth attitudes questionnaires (CAQ) and pregnancy-related anxiety questionnaire (PAQ) were decreased, and scores of labor agentry scale (LAS) were increased in both groups, and the improvement was better in study group than control group. The first, second and total stages of labor, vaginal midwifery rate, transfer to cesarean section rate, usage rate of oxytocin, oxytocin dose and blood loss at 2h after delivery in study group were lower than those in control group, while vaginal delivery rate and neonatal 1min Apgar score were higher than those in control group, but difference in the third stage of labor between the two groups was not statistically significant. The difference in incidence of adverse delivery outcomes and intraspinal adverse reactions between the two groups was not statistically significant. The satisfaction rate in study group was higher than that in control group. Conclusion The intervention effect of midwife-led standardized pain nursing combined with free position technique is significant in vaginal delivery of primiparas, which can effectively relieve negative psychology, improve perinatal indexes and satisfaction, with significant analgesic effect and high safety.
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Received: 27 May 2024
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2024, Vol. 21 
