JIANG Qingzhi,ZHENG Xiaohua,JU Meiyuan. The clinical effect of free body position on promoting natural delivery[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2018, 48(6): 459-462.
Abstract：Objective: To study the effects of free position during the first and second stages of labor on natural delivery. Methods: A total 240 of pregnant women who delivered in our hospital were enrolled into this study from June 2013 to February 2014. They were randomly divided into observation and control group, with 120 cases in each. Women in the control group took lithotomy position the whole process, held breath and gave birth hard. For observation group, women could freely chose any comfortable body position such as lying, walking,standing, sitting, kneeling, creeping or squatting on delivery during the first and second stage of labor, and used lithotomy position when delivering. The effects between two groups were observed and compared in terms of uterine cervix dilatation, time of the labor duration, maternal postpartum hemorrhage rate, neonatal Apgar score and postpartum discomfort rate. Results: The natural delivery rate of the observation group was significantly higher than the control group (P<0.05). The time of total labor and the maternal postpartum hemorrhage rate of the observation group was less than the control group (P<0.05). The neonatal Apgar score≥8 of the observation group was obviously better than that of control group (P<0.05). Satisfaction rate of pregnant women in the observation group was higher than that of the control group. There’s statistical difference (P<0.05) between the two groups. Conclusion: Freely chosen body positions during the first and second stages of labor process can promote natural delivery, shorten the time of labor, reduce maternal and neonatal complications and secure the health of mothers and babies. Besides, it improves satisfaction degree of pregnant women and the skills and competency of health care workers.
