| Research ObjectiveLabor analgesia is an important part of ensuring delivery.In this study,acupuncture stimulation was carried out with traditional Bian-Stone to explore a non-invasive,painless,safe and comfortable method for analgesic and midwifery to reduce non-medical indications of cesarean section by-lowering anxiety and the pain of birth of primiparae.It is also hoped that through this research,it will be possible to explore whether the Bian-Stone will benefit postpartum rehabilitation and newborns,in addition to analgesic and tranquillity during labor.MethodologyFrom December 2017 to February 2019,a total of 94 primiparas in the obstetrics of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine were included in the study.Primiparae were randomly divided into Bian-Stone group,false Bian-Stone group and auricular group by random number table method.The intervention period started at the beginning of the active period of the first stage of labor.Data were collected after the end of the third stage of labor,including the progress of the entire labor process,the Apgar score of the newborn,and a questionnaire about the mother and newborn were conducted to understand the experience and evaluation of labor analgesia.Then observation was made on the recovery of maternal postpartum,including the first postpartum urination and stool time,postpartum feeding,total hospital stay.Data analysis was performed using SPSS 23.0.Create a database using Epidata 3.0 software.Research resultsThe NRS scores of maternal labor pain showed that the subjective analgesic effect of the women in the Bian-Stone group was the best,the pain degree was only 4.4±2.3,while the pain level in the auricular group and the control group was relatively high,8.9±1.5 and 8.4±1.7,respectively.The group comparison P <0.001 (ie,P <0.05),the difference between the three groups was statistically significant.According to the WHO Standardised Pain Score,Pain Score level 1 (good analgesic effect) the Bian-Stone group had 90% of participants,the auricular group 23.3% and the false Bian-Stone contro group 33.3%.For Pain Score level 2 (less effective analgesia) the Bian-Stone group yielded 10.0%,the auricular group 40.0% and the false Bian-Stone control group 53.3%.For Pain Score level 3 (minimum analgesic effect) the Bian-Stone group had 0%,the auricular group 36.7% and the false Bian-Stone control group 13.4%.H=31.345,P<0.001,the difference between the three groups was statistically significant.From the first stage of active labor,the average time of maternal age was 150 (103,203) minutes in the Bian-Stone group,143 (85,210) minutes in the auricular group,and 159 (93,239) minutes in the control group.The Bian-Stone group and the auricular group had very similar first labor time.Both were shorter than the control group,and P=0.942 compared with the three groups.The difference was not statistically significant.The second stage of the Bian-Stone group was 50 (29,92) minutes,the auricular group was 42(25,60) minutes,the control group was 30 (19,71) minutes,and the three groups were compared with P=0.169.The difference was not statistically significant.The third stage of labor was 6 (5,7) minutes in the vermiculite group,5 (5,7) minutes in the auricular group,and 5 (5,6) minutes in the control group.The three groups had a comparison of P=0.156.The difference was not statistically significant.The total labor course was 460 (395,692)minutes in the vermiculite group,525 (453,667) minutes in the auricular group,and 604 (425,772) minutes in the control group.The difference was not statistically significant in the three groups compared with P=0.571.From the yield,the Bian-Stone group had the highest rate of 96.7%,the auricular group was 76.7%,and the control group was 93.3%.The three groups had P=0.070,P>0.05,and the difference was not statistically significant.Concerning about postpartum appetite of mothers,the Bian-Stone group scored best,which accounted for 53.4%,the general accounted for 43.3%,the difference was only 3.3%.The acupuncture group had a good maternal eating rate of 46.7%,accounting for 33.3% in general and 20.0% in poor.In the control group,only 10.0% of the women were eating well,generally 83.3%,and 6.7%.The three groups had a comparison of P=0.008,that is,P<0.05,and the difference was statistically significant.The number of maternal postpartum hospital stays was 2.8±1.2 days in the Bian-Stone group,3.8±1.2 days in the auricular group,and 2.9±0.8 days in the control group.The auricular group stayed the longest in hospital,the Bian-Stone group was similar to the control group,and the three groups were P=0.001,ie P<0.05.,The difference was statistically significant.From the neonatal birth outcome,among the three groups of newborns,only one neonate in the Bian-Stone group was born 1 minute,5 minutes Apgar score 9 points,10 minutes after treatment,10 minutes,and the remaining newborns were born 1,5 10 minutes for the Apgar score of 10 minutes.The Bian-Stone acupoint stimulation had no adverse effects on the newborn.The number of neonatal hospital stay was 3.4±2.0 days for the Bian-Stone group,4.3±1.9 days for the auricular group,and 3.2±1.1 days for the control group.The auricular group had the longest hospital stay,and the Bian-Stone group was similar to the control group.Compared with the three groups,P=0.008,that is,P<0.05,the difference was statistically significant.Maternal overall satisfaction rate for the entire treatment,the best in the Bian-Stone group,score 90 (80,99),auricular group 70 (0,85),control group 70 (60,80);three groups compared,P <0.001,the difference is Statistical significance.The Bian-Stone group was significantly more able to meet the maternal delivery and postpartum needs than the other two groups.The overall score of the women who failed to give birth to the treatment was 90.0 points in the Bian-Stone group,17.1 points in the auricular group,and 55.0 points in the control group.This indicates that even if the natural vaginal delivery coud not be finally achieved,the new mothers were still very satisfied with the treatment effect of the Bian-Stone.Conclusion1.A randomized controlled study of acupoint stimulation of full-term maternal labor shows that the three acupoints of Yintang,Hegu and Sanyinjiao with Bian-Stone have significant analgesic effects and help vaginal delivery.The analgesic effect of the Bian-Stone treatment group was significantly better than that of the auricular group and the False Bian-Stone control group.The postpartum appetite recovery of the Bian-Stone group was also superior to the other two groups.2.Stimulation of the Yintang,Hegu and Sanyinjiao acupoints in the first stage of active labor,and the effect of sinus stimulation can enhance the effect.The application of Bian-Stone and the selection of acupoints have synergistic effects.It can also promote postpartum recovery and shorten the length of hospital stay for mothers and newborns.Bian-Stone midwifery had no adverse effects on neonatal Apgar scores.New mothers were very satisfied with the overall evaluation of the Bian-Stone midwifery. |
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