Volume 21 Issue 12
Dec.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(12): 2081-2085
XIA Hongxia, XU Yuying, LEI Xia. Clinical use of a multifunctional reflective observation stool in midwifery[J]. Chinese Journal of General Practice, 2023, 21(12): 2081-2085. doi: 10.16766/j.cnki.issn.1674-4152.003295
Citation: XIA Hongxia, XU Yuying, LEI Xia. Clinical use of a multifunctional reflective observation stool in midwifery[J]. Chinese Journal of General Practice, 2023, 21(12): 2081-2085. doi: 10.16766/j.cnki.issn.1674-4152.003295
shu

Clinical use of a multifunctional reflective observation stool in midwifery

doi: 10.16766/j.cnki.issn.1674-4152.003295
  • 1.

    Department of Childbirth Center, Hangzhou Obstetrics and Gynecology Hospital, Hangzhou, Zhejiang 310004, China

Funds:

 2021PY059

  • Received Date: 2023-05-25
    Abstract
  •   Objective  Comparison of the clinical effectiveness of foreign-imported birthing stools and our department' s multi-functional reflective observation birthing stool for seated delivery.  Methods  A retrospective study was conducted on low-risk primiparous women who gave birth at Hangzhou First People' s Hospital from July to December 2022. Based on the different types of birthing stools used, a total of 65 women who underwent seated delivery with foreign-imported birthing stools were assigned to the control group, and another 65 women who underwent seated delivery with the Hangzhou First People' s Hospital multi-functional reflective observation birthing stool were assigned to the experimental group. The degree of perineal tears, episiotomy rate, perineal oedema and pain, duration of second stage of labour, postpartum bleeding within 2 hours, mode of delivery, occurrence of neonatal asphyxia or neonatal death, maternal comfort, uterine involution, puerperal morbidity rate, and length of postpartum hospital stay were compared between the two groups.  Results  The experimental group, using the multifunctional reflective observation birthing stool had significantly lower rates of perineal laceration and episiotomy than the control group using foreign-imported birthing stools. In addition, the duration of the second stage of labour was significantly shorter in the experimental group [(33.43±11.26) min] than in the control group [(63.56±11.58) min]; The experimental group also had less postpartum bleeding [(234.42±37.68)mL vs. (265.67±37.99)mL], and these differences were statistically significant (all P < 0.05). In addition, the incidence of neonatal asphyxia in the experimental group (6.15%, 4/65) was significantly lower than in the control group (18.46%, 12/65). The experimental group showed better uterine involution than the control group, with a lower incidence of puerperal morbidity and shorter postpartum hospital stay. These differences were statistically significant (all P < 0.05).  Conclusion  Compared to foreign birthing stools, the use of the multifunctional reflective observation birthing stool for seated delivery offers advantages in protecting against perineal tears and episiotomy, reducing perineal pain, shortening the duration of labour and the length of hospital stay after delivery, thus promoting maternal comfort.

     

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