关键词: 站立式待产椅, 枕后位, 第一产程, 助产士, 产科护理

Abstract:

Objective To design a birthing chair to support women with standing position during labor，and to evaluate its effectiveness on correcting occipital posterior position. Methods The birthing chair is composed of 7 components，such as the back of the chair，holding components，seat，standing pedal，et al. 100 women were selected from a hospital in Hangzhou between August and December 2020. They were randomly divided into an experimental group（n=50） and a control group（n=50）. Women in the experimental group were given the birthing chair and it was used to correct the occipital posterior position with the instruction of midwives，while women in the control group were applied the traditional position change method （lateral position + lateral prone position） to correct occipital posterior position. Indicators include the correction rate of occipital posterior position，mode of delivery and incidence of adverse events. Results The correction rate of occipital posterior position in the experimental group （86%） was significantly higher than that in the control group（56%），and the difference between 2 groups was statistically significant（P=0.001）. The rate of natural birth（88%） in the experimental group was higher than that in the control group（66%），while the rate of vaginal assisted delivery（4%） was lower than that in the control group （16%），and the rate of cesarean section（8%） was lower than that in the control group（18%）. The difference between 2 groups was statistically significant（P=0.009）. Conclusion The birthing chair to support women with standing position during labor can effectively correct the occipital posterior position，and increase natural birth rate. It is a convenient and safe birthing tool，which can improve women’s childbirth experience.

Key words: Birthing Chair, Occiput Posterior Position, First Stage of Labor, Midwife, Obstetrical Nursing