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目的:探讨产程早期体位干预配合分娩辅助设施对初产妇分娩的影响。方法:选择足月妊娠头先露,且无妊娠合并症和并发症的初产妇200例,随机分为观察组和对照组各100例,观察组从产妇临产规律宫缩宫口未开开始。根据产妇胎先露下降的高低和胎背位置,给予用手向上托起腹部行走、上下爬单层楼梯、垂直坐位、侧俯卧位、侧卧位弓箭步、支撑式前倾坐位或前倾式站位、手膝位等早期体位干预,并配合应用分娩辅助设施;对照组产妇根据自己的意愿采取自由体位配合常规产程护理。观察两组产程时间、疼痛程度和分娩方式的差异。结果:两组分娩方式比较差异有统计学意义(P<0.05),观察组阴道分娩率为86.0%(86/100),显著高于对照组的73.0%(73/100)。两组阴道分娩产妇第一产程比较差异有统计学意义(P0.05)。两组阴道分娩产妇潜伏期、活跃期及第二产程疼痛程度比较差异均有统计学意义(P<0.01),观察组阴道分娩产妇潜伏期、活跃期及第二产程三个时期的疼痛程度均低于对照组。结论:产程早期体位干预配合分娩辅助设施,能缩短第一产程时间,减轻分娩疼痛.提高自然分娩率。“,”Objective Stage of early position intervention combined with childbirth effects of auxiliary facilities on primiparas.Methods Term pregnancy cephalic presentation. Without complications and complications of pregnancy in primiparae 200 patients were randomly divided into two groups and control groups of 100 cases, observation groups from the law of maternal labor contractions start Palace is not open. According to the level of decline in maternal fetal presentation and fetal position back, giving up abdomen with his hand walking, climbing up and down stairs, vertical seat, side prone position, lateral lunge, strut-type front seat or forward position, hands, knees and other early body position intervention and coordinated application of assisted childbirth facilities;Women in the control group according to their willingness to take free posture combined with conventional stage of care.Two groups differences in duration, pain level and mode of delivery.Results Mode of delivery between the two groups there was a statistically significant difference (P<0.05), vaginal deliveries rate of 86% in the observation group (86/100), significantly higher than the control group 73% (73/100).Vaginal delivery of the first stage between the two groups there was a statistically significant difference (P0.05).Two sets of vaginal delivery latency, active period and degree of pain during the second stage there were statistically significant differences (P<0.01) and observation group, three times the level of pain is lower than in the control group.Conclusion The stage of early position intervention combined with childbirth facilities, can shorten the duration of the first stage, reducing labor pain. Enhance the natural birth rate.