Weiwei Wu*, Jinhua Dong, Jing Luo, Yan Wu, Ling Ai
Regional Special Disease Center in Northern Zhejiang Province, Department of Obstetrics and Gynecology, Jiaxing Maternal and Child Health Hospital Affiliated to Jiaxing University, Jiaxing 314000, Zhejiang Province, China
Many hospitals use the traditional delivery position in the second stage of labour. This position is helpful for midwives to observe labour progress, listen to the foetal heart rate and receive delivery. However, the traditional position has many disadvantages, while the free position can significantly reduce the second stage of labour time of pregnant women with natural delivery. Therefore, this paper takes free position delivery as the experimental index to explore its application effect in vaginal delivery. In this paper, 210 cases of natural parturient primiparas who were admitted to the Jiaxing Maternal and Child Health Hospital Affiliated to Jiaxing University in our city from January 2019 to June 2019 were selected. After entering the labour process, all three groups were in the free position for labour, and different positions were selected for delivery. In the supine position group, the traditional bladder lithotomy position was used. In the lateral position group, the buttocks and lower limbs were relaxed, and the lower limbs were placed comfortably. In the prone position group, participants were lying prone on the bed with cushions under the knees and delivery balls placed under the chest and abdomen to support the body. The results indicate that prone position delivery and lateral position delivery can reduce the caesarean section rate and promote natural delivery. In the observation group, 42.5% of foetal heads naturally turned to the occipital anterior position, while this occurred among 33% of foetal heads in the control group. The correction of the foetal head in the observation group was better than that in the control group, and the abnormal foetal position could be detected in advance. Prone position delivery increases foetal activity space in the uterus, reduces pressure on the lumbosacral region of the puerpera and reduces maternal pain. Moreover, it can allow medical staff to conduct a vaginal examination, which is conducive to the rotation of the foetal head to the occipital posterior position while promoting maternal comfort.
Vaginal delivery, free position delivery, mode of delivery, second stage of labour time, delivery pain.