孕晚期会阴按摩联合髋关节训练对初产孕妇分娩结局及心理弹性的影响

doi:10.3969/j.issn.1006-5725.2024.07.024

Abstract

Abstract:

Objective To investigate the effects of perineal massage combined with hip joint exercise on the outcome of delivery and mental resilience of primipara. Methods 90 pregnant women in the third trimester （after 36 weeks） who obtained the knowledge about perineal massage from midwife clinic were randomly divided into two groups with 45 cases each. The control group received regular antenatal examination and family self-exercise； the experimental group received perineal massage and hip joint training combined treatment. The delivery outcome，birth experience and maternal mental resilience of the two groups were compared. Results the number of vaginal delivery in the experimental group were higher than that in the control group （P < 0.05）； the second stage of labor was significantly shorter than that of the control group （P < 0.05）； the perineal integrity rate was higher than that of the control group （P < 0.05）； the scores of all dimensions in delivery experience questionnaire were higher than that of the control group （P < 0.05）； the scores of all dimensions in maternal mental resilience were higher than those of the control group （P < 0.05） after intervention. Conclusion The perineal massage which conducted by midwives combined with hip movement can effectively improve the quality of delivery，relieve the negative emotions of pregnant women，improve the psychological elasticity level of pregnant women，and improve the delivery outcomes.

Key words: primiparous pregnant women, perineal massage, hip joint exercise, delivery outcome, psychological resilience

CLC Number:

R473.71

Wenjuan WANG,Zhuoxuan LAI,Lingling ZHANG,Yafang DENG,Zonglian GUO,Wenzhi. CAI. The Influence of Late Pregnancy Perineal Massage Combined with Hip Training on Labor Outcomes and Psychological Elasticity of Primiparous Pregnant Women[J]. The Journal of Practical Medicine, 2024, 40(7): 1017-1022.

Figures/Tables 5

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References 25

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组别	例数	阴道分娩	剖宫产
对照组	45	37（82.2）	8（17.8）
观察组	45	44（97.8）	1（2.2）

组别	例数	第一产程时长（h）	第二产程时长（min）
对照组	37	9.66（6.87，12.74）	114（99，145）
观察组	44	9.66（7.00，12.74）	71（48，89）
Z值		-0.266	-5.803
P值		0.791	< 0.001

组别	例数	会阴完整	会阴侧切	I度会阴裂伤
对照组	37	4（10.8）	7（18.9）	26（70.3）
观察组	44	21（47.7）	3（6.8）	20（45.5）
χ2值		13.438
P值		< 0.001

组别	例数	干预前	待产时	产后
总分
对照组	45	74.33 ± 9.51	80.98 ± 12.86	94.84 ± 7.12
观察组	45	70.76 ± 7.74	101.69 ± 12.46	113.20 ± 8.20
t值		1.956	7.756	11.332
P值		0.054	< 0.001	< 0.001
坚韧性
对照组	45	38.20 ± 5.07	41.20 ± 7.58	49.18 ± 4.86
观察组	45	36.27 ± 4.69	51.60 ± 7.58	59.71 ± 5.13
t值		1.875	6.506	9.984
P值		0.064	< 0.001	< 0.001
力量性
对照组	45	25.44 ± 2.66	27.58 ± 3.17	30.67 ± 1.88
观察组	45	24.40 ± 2.18	34.49 ± 3.95	37.29 ± 2.53
t值		2.030	9.147	14.060
P值		0.045	< 0.001	< 0.001
乐观性
对照组	45	10.69 ± 2.52	12.20 ± 2.77	15.00 ± 1.82
观察组	45	10.09 ± 1.69	15.60 ± 2.35	16.20 ± 1.45
t值		1.326	6.260	3.452
P值		0.189	< 0.001	0.001

组别	例数	总分	自我能力	专业支持	自我感知	参与感
对照组	45	46.82 ± 2.91	12.51 ± 1.70	17.02 ± 1.53	9.09 ± 0.73	8.20 ± 0.79
观察组	45	62.36 ± 7.33	20.98 ± 2.73	21.02 ± 3.24	10.49 ± 0.81	9.87 ± 1.97
t值		13.217	17.677	7.482	8.566	5.265
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

The Influence of Late Pregnancy Perineal Massage Combined with Hip Training on Labor Outcomes and Psychological Elasticity of Primiparous Pregnant Women

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