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For the purpose of reducing born after 1980, the beginning of the high maternal anxiety state, high rate of cesarean section, the trial by understanding labor before trait anxiety and state anxiety and maternity level of self-efficacy analysis between self-efficacy and anxiety there is a correlation, respectively, and the touch of care, enhance self-efficacy care of early maternal intrapartum and postpartum changes in physiological stress indicators for two hours, labor, cesarean section rate, neonatal asphyxia and 2 hours postpartum bleeding to seek effective nursing intervention to reduce the rate of cesarean section for clinical practice. Method 2008.11 -2009.11 month period, Tianjin Medical University General Hospital maternity ward random sample of 127 of a first baby born after 1980, 42 cases were randomly divided into the massage group, and enhance self-efficacy group of 43 patients in the control group in 42 cases. \when the degree of pain assessment, blood pressure and heart rate is selected as objective indicators of physiological stress. The control group received routine obstetric care; massage group, and enhance self-efficacy group were given on the basis of conventional obstetric care massage intervention and enhance self-efficacy care. Three groups before labor, the active phase of the first stage of labor, the cervix is ??open the whole tire shoulder is delivered, and after two hours and 24 hours of delivery were measured by objective and subjective indicators. The data were finishing, review, entry SPSS11.5 statistical software and analyzed. The results of a sample of the overall state of anxiety (41.28 ± 3.40), higher than the national norm (38.97 ± 8.45) (P lt; 0.01). Junior high school degree or less, an only child, monthly family income less than 2,000 yuan, at their own expense, weight gain during pregnancy is greater than or equal to 15kg and childbirth do not know primipara S-AI score high. 2 CBSEI formal labor coping behavior after the results expected (OE-AL), the official labor of self-efficacy expectations (SE-AL), the second stage of coping behavior results expected (OE-SS), the second stage of labor The average self-efficacy expectations (SE-SS) 127.77 ± 14.79,116.33 ± 15.14,123.08 ± 14.35 and 110.78 ± 15.03 points. Bachelor degree or above, an only child, monthly family income is greater than or equal to 4000 yuan, health insurance and weight gain during pregnancy less than the 15kg and childbirth a better understanding of early maternal CBSEI the score high. Primipara admission S-AI, T-AI and OE-AL, SE-AL OE-SS, SE-SS were negatively correlated, the correlation coefficients were -0.806, -0.744, -0.769, -0.731, -0.774, -0.727, -0.754, -0.686 4 primipara beginning in childbirth active period, the cervix is ??open full-time and shoulder delivered systolic blood pressure, diastolic blood pressure and heart rate were higher, faster, and press the time the order was gradually rising trend, the phase comparison group, the difference between the different moments of the birth process significantly significantly (P lt; 0.01); relative comparison between the two groups, the control group, blood pressure, heart rate increase of magnitude greater than the two intervention groups, and a statistical difference (P lt; 0.05 or P LT; 0.01) 5 two intervention groups were active period and 24 hours of delivery of the S-AI, T-AI score and maternal complications during childbirth VAS scores were lower than the control group (P lt; 0.05) Enhance self-efficacy, the second stage of labor and the total production process is shorter than the control group (P lt; 0.01), the first stage of labor and the total production process of the massage group shorter than the control group (P lt; 0.01); massage group with enhanced self-efficacy group cesarean section rates were lower than the control group (P lt; 0.05); three groups of postpartum bleeding differences were statistically significant (P lt; 0.05 or P LT; 0.01), which enhance self- Performance care group 2 hours postpartum hemorrhage less than the massage group (P lt; 0.05). Conclusion 1 Sample General admission day at different levels of state anxiety, self-efficacy are expected to be less than the response to the way results are expected. State anxiety level of the high level of self-efficacy; high level of trait anxiety level of self-efficacy. Touch of care and enhance self-efficacy care can ease the primipara production of the stress response, improve the capacity of early maternal tolerance to pain, to survive the birth process. Enhance self-efficacy care and massage treatments can reduce the rate of cesarean section to reduce the amount of 2 hours postpartum hemorrhage, shorten the first stage of labor and birth process, and enhance the effect of self-efficacy care in reducing 2 hours postpartum bleeding and shorten the production process better than the touch of care.
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