108985
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.4 Breast Cancer (Dove Med Press)
- 3.2 Clin Epidemiol
- 2.6 Cancer Manag Res
- 2.9 Infect Drug Resist
- 3.7 Clin Interv Aging
- 5.1 Drug Des Dev Ther
- 3.1 Int J Chronic Obstr
- 6.6 Int J Nanomed
- 2.6 Int J Women's Health
- 2.9 Neuropsych Dis Treat
- 2.8 OncoTargets Ther
- 2.0 Patient Prefer Adher
- 2.2 Ther Clin Risk Manag
- 2.5 J Pain Res
- 3.0 Diabet Metab Synd Ob
- 3.2 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 1.8 Pharmgenomics Pers Med
- 2.0 Risk Manag Healthc Policy
- 4.1 J Inflamm Res
- 2.0 Int J Gen Med
- 3.4 J Hepatocell Carcinoma
- 3.0 J Asthma Allergy
- 2.2 Clin Cosmet Investig Dermatol
- 2.4 J Multidiscip Healthc
已发表论文
提升分娩体验：自由体位与正念放松技巧对减轻疼痛和缩短产程的综合效果
Received 6 May 2025
Accepted for publication 19 August 2025
Published 21 October 2025 Volume 2025:18 Pages 6399—6410
DOI https://doi.org/10.2147/IJGM.S538736
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 4
Editor who approved publication: Dr Vinay Kumar
Ying Chen,1 Minna Wu2
1Wuxi Second People’s Hospital Labor Room, Wuxi, Jiangsu, 214002, People’s Republic of China; 2Department of Obstetrics, Wuxi Second People’s Hospital, Jiangsu, Wuxi, 214002, People’s Republic of China
Correspondence: Minna Wu, Email nrq8020@163.com
Objective: To evaluate the effects of free positioning combined with mindfulness-based relaxation techniques on labor pain, labor progression, and psychological state in primiparous women, providing evidence for promoting natural childbirth.
Methods: A retrospective cohort study was conducted involving 120 primiparous women who met the inclusion criteria and delivered at Wuxi Second People’s Hospital between January 2022 and June 2023. Participants were divided into an intervention group (free positioning plus mindfulness relaxation, n=60) and a control group (conventional supine position and routine care, n=60) based on intrapartum management. The two groups were compared in terms of labor duration, pain scores [Visual Analogue Scale (VAS), Pain Rating Index (PRI), Present Pain Intensity (PPI)], emotional status [Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS)], sense of control during labor [Labor Agentry Scale (LAS)], perineal trauma, postpartum blood loss, and neonatal Apgar scores.
Results: The intervention group had significantly shorter first, second, and total labor stages (all P < 0.001), with total labor reduced by ~135 minutes (effect size: Cohen’s d = 3.86). Pain (VAS, PRI, PPI) and emotional distress (SAS, SDS) scores were significantly lower, and LAS scores higher in the intervention group (all P < 0.001). They also experienced less postpartum bleeding (155.89 ± 22.21 mL vs 204.58 ± 30.88 mL) and fewer second- or third-degree perineal lacerations (23.34% vs 46.67%, P < 0.05). Neonatal Apgar scores were similar between groups.
Conclusion: Free positioning combined with mindfulness-based relaxation may help shorten labor, relieve pain, improve emotional well-being, reduce trauma and bleeding, and enhance maternal control. However, further multicenter randomized controlled trials are needed to confirm these findings due to the retrospective design and limited sample size.
Keywords: labor, obstetric, pain management, natural childbirth, labor duration, maternal pain relief
1Wuxi Second People’s Hospital Labor Room, Wuxi, Jiangsu, 214002, People’s Republic of China; 2Department of Obstetrics, Wuxi Second People’s Hospital, Jiangsu, Wuxi, 214002, People’s Republic of China
Correspondence: Minna Wu, Email nrq8020@163.com
Objective: To evaluate the effects of free positioning combined with mindfulness-based relaxation techniques on labor pain, labor progression, and psychological state in primiparous women, providing evidence for promoting natural childbirth.
Methods: A retrospective cohort study was conducted involving 120 primiparous women who met the inclusion criteria and delivered at Wuxi Second People’s Hospital between January 2022 and June 2023. Participants were divided into an intervention group (free positioning plus mindfulness relaxation, n=60) and a control group (conventional supine position and routine care, n=60) based on intrapartum management. The two groups were compared in terms of labor duration, pain scores [Visual Analogue Scale (VAS), Pain Rating Index (PRI), Present Pain Intensity (PPI)], emotional status [Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS)], sense of control during labor [Labor Agentry Scale (LAS)], perineal trauma, postpartum blood loss, and neonatal Apgar scores.
Results: The intervention group had significantly shorter first, second, and total labor stages (all P < 0.001), with total labor reduced by ~135 minutes (effect size: Cohen’s d = 3.86). Pain (VAS, PRI, PPI) and emotional distress (SAS, SDS) scores were significantly lower, and LAS scores higher in the intervention group (all P < 0.001). They also experienced less postpartum bleeding (155.89 ± 22.21 mL vs 204.58 ± 30.88 mL) and fewer second- or third-degree perineal lacerations (23.34% vs 46.67%, P < 0.05). Neonatal Apgar scores were similar between groups.
Conclusion: Free positioning combined with mindfulness-based relaxation may help shorten labor, relieve pain, improve emotional well-being, reduce trauma and bleeding, and enhance maternal control. However, further multicenter randomized controlled trials are needed to confirm these findings due to the retrospective design and limited sample size.
Keywords: labor, obstetric, pain management, natural childbirth, labor duration, maternal pain relief