Journal of Modern Nursing MedicineJPCNS

Objective To explore the effect of labor ball combined with free position for labor in the application of intravertebral labor analgesia natural labor in primipara. Methods A total of 200 primipara who received intravertebral anesthesia for labor analgesia in our hospital from July 2021 to June 2022 were selected as the objects of this study. Based on the admission sequence number of the subjects, 200 primiparas who underwent natural delivery under spinal anesthesia were randomly divided into the control group and the observation group by means of random number grouping. The control group was treated with the conventional midwifery nursing mode after spinal anesthesia. The observation group was treated with labor ball combined with free position of spinal canal anesthesia after midwifery nursing mode. The delivery condition, perineal injury and nursing satisfaction of the control group and the observation group were compared and analyzed. Results After the labor ball combined with free postnatal nursing intervention, the observation group of maternal second stage of labor time is short, postpartum 2 hours less blood loss, perineotomy rate is low, little damage, high integrity, high nursing satisfaction, neonatal asphyxia no difference, each index data is significantly better than the control group (P<0.05), the difference is statistically significant. Conclusion The intervention of labor ball combined with free position midwifery mode can effectively shorten the second stage of labor, reduce postpartum blood loss 2 hours, and reduce perineal injury for primiparas who have intraspinal labor analgesia. It has excellent effect in practical application and is worthy of further promotion and application.

birthing ball; Free position; Intraspinal labor analgesia; Natural childbirth; Primipara; Perinealinjury; Stage of labor