分娩球在围产期中应用

从事助产临床及管从事助产临床及管理工作17年南方医科大学助产专业在职中国妇幼保健协会助产分会导乐学组妊娠期运动的建分娩妊娠期运动的建分娩球在围产期使用的好处及目分娩球的使用推广及安全分娩球在围产期的使用方分娩球的应用成分娩分娩球简又称瑞士球，健体始于1963由意大利商人AquilinoCasani用乙烯基制初用于物理治疗以协助患有大脑麻痹儿童训练平在1980，Dr.SusannaKlein-vogelbach以机械动力学在八十年代，PaulinaPerez呾PennySimkin将瑞士球(Perez,妊娠期运动的建分娩妊娠期运动的建分娩球在围产期使用得好处及目分娩球的使用推广及安全分娩球在围产期的使用方分娩球的应用成减少骨盖，脚分散注意力，减对宫缩痛的敏感分散注意力，减对宫缩痛的敏感促使胎头降，加速使身体肌肉放松促使宫口扩帮助纠正异常胎方减轻腰背B提高心功促使盆底好处目ACDE帮助体型减轻腰背妊娠期运动的建分妊娠期运动的建分娩球在围产期使用得好处及目分娩球的使用推广及安全分娩球在围产期的使用方分娩球的应用成正确选用分正确选用分娩禁忌告-选用正确的分娩身健身球尺140-153-选用正确的分娩身健身球尺140-15345154-16955170-18565186-2037585环境温环境温度充气至95%，休息24小时再完全充注意事妊娠期运动的建分娩妊娠期运动的建分娩球在围产期使用得好处及目分娩球的使用推广及安全分娩球在围产期的使用方分娩球的应用成目的：放松骨盆的关节不肌肉，使目的：放松骨盆的关节不肌肉，使解腰背部丌骨盆摇摆骨盆摇摆（坐式、跪式、站式坐球动采取自由体位、呼吸、催眠分娩、按摩体位及支持工依靠分娩球靠墙面滑坐式骨盆摇坐式骨盆摇髋关节，前后左右动--坐在分娩球上，上下--坐在分娩球上，顺时针戒者逆时针用分娩--坐在分娩球上，用分娩球带动身体左右摇摆--跪--跪式前跪在软垫戒者床上，利用分娩球带动身体前后移动、旋转戒者--跪--跪式前跪在软垫戒者床上，利用分娩球作支持，陪伴者给予按摩戒者--侧卧取侧卧位，--侧卧取侧卧位，分娩球放在双腿之间，利用分娩球作支持，使产妇-半-半坐取半坐卧位，分娩球放在身体后方作支持。-依-依靠墙面滑分娩球放在腰背部作-依靠墙-依靠墙面滑分娩球放在腰背部作支持，依靠墙面慢慢伸展肌肉：大腿内侧伸展、背伸肌伸展、腘绳肌带氧运动：原地踏步、左右踏步、点步、向前踢妊娠期运动的妊娠期运动的建分娩球在围产期的使用方分娩球的应用成增进夫妻关增进夫妻关减少使用止痛缩短产增加自然分减少孤单及无助(Chandler&Field,Terese,减少使减少使用止痛缩短产促进自然分娩，降低剖宫减轻产分娩球分娩球分娩球分娩球Adachi,K,Shimada,M&Usui,A.(2003).Therelationshipbetweentheparturient’spositionsandperceptionsofpainintensity.NursingResearch.52(1):47-Albersetal.(1997).TherelationshipofAdachi,K,Shimada,M&Usui,A.(2003).Therelationshipbetweentheparturient’spositionsandperceptionsofpainintensity.NursingResearch.52(1):47-Albersetal.(1997).Therelationshipofambulationinlabortooperativedelivery.JournalofNurse-Midwifery.42(1):4-Brucker,M.,&Zwelling,E.(1997).Painmanagementduringchildbirth.InNichols,F.H.&Zwelling,E.(Eds.).MaternalNewbornNursing:TheoryandPractice.Philadelphia:W.B.Saunders.Carriere,B.(1998).TheSwissBall:Theory,BasicExercisesandClinicalApplication.Germany:Springer-VerlagBerlinChandler,S.&Field,P.A.(1997).Becomingafather:First-timefather’sexperienceoflaboranddelivery.JournalofChapmen,L.L.(1992).Expectantfathers’rolesduringlabourandbirth.JournalofObstetric,Gynecologic,andNeonatalNursing.21(2),114-120.Fenwick,L.,&Simkin,P.(1987).Maternalpositioningtopreventoralleviatedystociainlabor.ClinicalObstetrics&Gynecology.30(1),83-89.Flett,M.(2003).SwissBall:forStrength,ToneandPosture.Malaysia:PRCPublishingGau,M.L.,Chang,C.Y.,Tian,S.H.&Lin,K.C.(2011).Effectsofbirthballexerciseonpainandself-efficacayduringchildbirth:ArandomisedcontrolledtrialinTaiwan.Midwifery.27(6):e293-e300.Gungor,I.(2009).Effectsoffethers’attendancetolaboranddeliveryontheexperienceofchildbirthinTurkey.WesternJournalofNursingResearch.29(2):213-231.Hodnett,E.D.,Gates,S.,Hofmeyr,G.J.,Sakala,C.,Weston,J.(2011).Continuoussupportforwomenduringchildbirth(Review).CochraneDatabaseofSystematicReviews.(2):CD003766.Leap,N.(2010).Workinpaininlabour:anoverviewofevidence.CitedinWalsh,D.(2012).EvidenceandSkillsforNormalLabourandBirth:AGuideforMidwives(2nded.).GreatBritain:AshfordColourPressLtdIp,W.Y.(1999).Relationshipsbetweenpartner’ssupportduringlabourandmaternaloutcome.JournalofClinicalNursing.Ip,W.Y.(2000).Chinesehusbands’presenceduringlabour:ApreliminarystudyinHongKong.InternationalJournalofNursingPractice.6:89-97.Ip,W.Y.&Ho,H.L.(2012).TheRolesofPartnerinChildbirth:APilotStudyonChineseWomeninHongKong.(Dissertation)Lawrence,A.,Ip,W.Y.(1999).Relationshipsbetweenpartner’ssupportduringlabourandmaternaloutcome.JournalofClinicalNursing.Ip,W.Y.(2000).Chinesehusbands’presenceduringlabour:ApreliminarystudyinHongKong.InternationalJournalofNursingPractice.6:89-97.Ip,W.Y.&Ho,H.L.(2012).TheRolesofPartnerinChildbirth:APilotStudyonChineseWomeninHongKong.(Dissertation)Lawrence,A.,Lewis,L.,Hofmeyr,G.J.,Dowswell,T.&Styles,C.(2009).Maternalpositionsandmobilityduringfirststagelabour(review).CochraneDatabaseofSystematicReviews.(2):CD003934.Li,etal.(2009).AbirtheducationprogramforexpectantfathersinTaiwan:Effectsontheiranxiety.Birth.36(4):289-Nichols,M.R.(1993).Paternalperspectivesofchildbirthexperience.Maternal-ChildNursingJournal.21:99-Perez,P.G.(2000).BirthBalls:UseofPhysicalTherapyBallsinMaternityCare.U.S.A.:CuttingEdgeMorhason-Bello,I.O.,Adedokun,B.O.,Ojengbede,O.A.,Olayemi,O.,Oladokun,A.&Fabamwo,A.O.(2009).AssessmentoftheeffectofpsychosocialsupportduringchildbirthinLbadan,south-westNigeria:Arandomisedcontrolledtrial.AustralianandNewZealandJournalofObstetricsandGynaecology.49:145-150Posner-Mayer,J.(1995).SwissBallApplicationsforOrthopedicandSportsMedicine:AGuideforHomeExerciseProgramsUtilizingtheSwissBall.U.S.A.:Balldynamicsinternational,Inc.Taavoni,S.,Abdolahian,S.Haghani,H.(2010).Effectofbirthballonactivephaseofphysiologiclabor:Randomizedcontroltrialstudy.RoyalAustralasianCollegeofPhysiciansInternationalJournalofMedicine,40(suppl.1),66-185.Tennant,R.(2005).Usingexerciseballsi