Application of free position combined with second stage perineum massage technique in reducing vaginal delivery and episiotomy rates among first-times mothers
自由体位联合第二产程会阴按摩技术在降低初产妇阴道分娩会阴侧切率的应用

摘要

目的 分析自由体位联合第二产程会阴按摩技术在降低初产妇阴道分娩会阴侧切率的应用效果。方法 选择我院在2025年1月至2025年7月期间接诊的100例自然分娩初产妇，根据随机数字表法分为两组，对照组50例采用常规的产程护理模式，实验组50例在对照组常规产程护理的基础上，施行自由体位联合第二产程会阴按摩技术的护理模式，对比两组会阴侧切率、产程时长、产后出血，新生儿评分。结果 实验组的会阴侧切率低于对照组（P＜0.05）；实验组的三个产程和总产程时间均短于对照组，实验组的产后出血量低于对照组（P＜0.05）；实验组新生儿Apgar评分（9.81±0.11）分高于对照组（9.27±0.27）分，两组新生儿Apgar评分相比，（T=13.0969，P=＜0.0001）。结论 自由体位联合第二产程会阴按摩技术可以有效降低初产妇阴道分娩会阴侧切率，应用价值高。

Abstract

Objective To evaluate the effectiveness of the free position combined with second stage perineum massage technique in reducing vaginal delivery and episiotomy rates among first-time mothers.
Methods A total of 100 primiparas undergoing natural delivery were randomly assigned between January 2025 and July 2025 using a random number table method. The control group (50 cases) received conventional labor care, while the experimental group (50 cases) underwent the free position combined with second stage perineum massage technique. Comparative analyses were conducted on episiotomy rates, labor duration, postpartum hemorrhage, and neonatal Apgar scores.
Results The experimental group showed significantly lower episiotomy rates (P <0.05), shorter total labor duration, and reduced postpartum hemorrhage volume compared to the control group (P <0.05). Neonatal Apgar scores in the experimental group (9.81 ± 0.11) were higher than those in the control group (9.27 ± 0.27), with a statistically significant difference (T = 13.0969, P <0.0001).
Conclusion   The free position combined with second stage perineum massage technique effectively reduces vaginal delivery and episiotomy rates among first-time mothers, demonstrating high clinical value.