Contemporary Nursing

Objective To analyze the value of freehand rotating fetal head and delivery for midwifery care in the second stage of labor. Methods Randomized women during vaginal delivery in a hospital from April 2022 to March 2024 (n=68). The test group took the freehand rotation head combined side prone position in the second stage of labor, and the control group underwent routine midwifery care. The success rate of vaginal delivery, the time of the first and second stages of labor, and maternal and infant complications were compared between the two groups. Results Success rate of vaginal delivery: 94.12% in the test group was significantly higher than the 73.53% in the control group (P <0.05); The first and second stages of labor: the test group were shorter than the control group (P <0.05); Complications: 5.88% of the test group was significantly lower than 26.47% of the control group, (P<0.05); SDS and SAS scores: After the intervention, Test group score as low as (33.18 ± 4.26) and (34.71 ± 5.02), The control group reached (46.73 ± 5.83) points and (47.31 ± 6.42) points, Data were lower (P <0.05). Conclusion Taking the free rotation of the fetal head in the second stage of labor can improve the success rate of vaginal delivery, shorten the labor process, reduce complications and improve the mentality. Safe and feasible, and conducive to promotion.

Freehand rotation; Lateral prone position; Head dystocia; Midwifery care