The clinical value of gasbag midwifery skill in improving vaginal delivery quality

Objective To investigate the clinical value of gasbag midwifery skill in improving vaginal delivery quality. Methods Total 1238 primiparas with various conditions were randomly divided into the gasbag group and the control group. The gasbag group was given the same obstetrical treatments as that in the control group, but gasbag midwifery skill was used twice when the cervix was dilated 2cm～4cm in labor. Results The time of first stage, second stage and total delivery process in the gasbag group was shorter than those in the control one (P0.01, P0.05, P0.05). The natural delivery rate in the gasbag group was higher than that in the control one. The forceps delivery rate and the cesarean section rate were lower than those in the control one (P0.01, P0.01, P0.05). The amount of vaginal bleeding within two hours after delivery and the rate of postpartum hemorrhage was less than those in the control one (P0.05, P0.05). The rate of fetal distress and rate of using pitocin in the gasbag group were lower than those in the control one (P0.01, P0.01). The rate of maternal and fetal complications such as neonatal asphyxia and soft labor canal injury had no marked differences in the two groups. Conclusion The gasbag midwifery skill is a simple, safe, effective procedure to improve vaginal delivery quality.