Effects of Positive Psychological Nursing Combined with Free Posture on the Prognosis of Primipara with Singleton Spontaneous Delivery

Abstract

Objective. To explore the effects of positive psychological nursing combined with free posture on the prognosis of primipara with singleton spontaneous delivery. Methods. 106 cases of primipara with singleton spontaneous delivery who were admitted to the obstetrics department of our hospital from January 2017 to December 2019 were selected as the research subjects and they were divided into the observation group and control group according to the random number table method and maternal willingness, with 53 cases in each group. The control group received routine nursing, and the observation group was given positive psychological nursing combined with free posture on the basis of the control group. The stress degree during delivery (Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD)), the time of first stage of labor, the time of second stage of labor, the time of third stage of labor, pain level during the active period of the first stage of labor, and delivery outcomes were observed and compared between the two groups. Results. The degree of anxiety and depression during childbirth in the observation group was significantly lower than that in the control group ( $P<0.05$ ). The time of first stage of labor and the time of second stage of labor in the observation group were shorter than those in the control group ( $P<0.05$ ), and there was no significant difference in the time of the third stage of labor ( $P>0.05$ ). The pain degree in the active stage of the first stage of labor in the observation group was lower than that in the control group ( $P<0.05$ ). The pain degree in the active stage of the first stage of labor in the observation group was lower than that in the control group ( $P<0.05$ ). Conclusion. Positive psychological nursing combined with free posture for primipara with singleton spontaneous delivery can shorten the stages of labor, reduce the pain, relieve psychological stress, and improve the delivery outcomes.