從事助產(chǎn)臨床及管從事助產(chǎn)臨床及管理工作17年南方醫(yī)科大學(xué)助產(chǎn)專業(yè)在職中國(guó)婦幼保健協(xié)會(huì)助產(chǎn)分會(huì)導(dǎo)樂(lè)學(xué)組妊娠期運(yùn)動(dòng)的建分娩妊娠期運(yùn)動(dòng)的建分娩球在圍產(chǎn)期使用的好處及目分娩球的使用推廣及安全分娩球在圍產(chǎn)期的使用方分娩球的應(yīng)用成分娩分娩球簡(jiǎn)又稱瑞士球，健體始于1963由意大利商人AquilinoCasani用乙烯基制初用于物理治療以協(xié)助患有大腦麻痹兒童訓(xùn)練平在1980，Dr.SusannaKlein-vogelbach以機(jī)械動(dòng)力學(xué)在八十年代，PaulinaPerez呾PennySimkin將瑞士球(Perez,妊娠期運(yùn)動(dòng)的建分娩妊娠期運(yùn)動(dòng)的建分娩球在圍產(chǎn)期使用得好處及目分娩球的使用推廣及安全分娩球在圍產(chǎn)期的使用方分娩球的應(yīng)用成減少骨蓋，腳分散注意力，減對(duì)宮縮痛的敏感分散注意力，減對(duì)宮縮痛的敏感促使胎頭降，加速使身體肌肉放松促使宮口擴(kuò)幫助糾正異常胎方減輕腰背B提高心功促使盆底好處目ACDE幫助體型減輕腰背妊娠期運(yùn)動(dòng)的建分妊娠期運(yùn)動(dòng)的建分娩球在圍產(chǎn)期使用得好處及目分娩球的使用推廣及安全分娩球在圍產(chǎn)期的使用方分娩球的應(yīng)用成正確選用分正確選用分娩禁忌告-選用正確的分娩身健身球尺140-153-選用正確的分娩身健身球尺140-15345154-16955170-18565186-2037585環(huán)境溫環(huán)境溫度充氣至95%，休息24小時(shí)再完全充注意事妊娠期運(yùn)動(dòng)的建分娩妊娠期運(yùn)動(dòng)的建分娩球在圍產(chǎn)期使用得好處及目分娩球的使用推廣及安全分娩球在圍產(chǎn)期的使用方分娩球的應(yīng)用成目的：放松骨盆的關(guān)節(jié)不肌肉，使目的：放松骨盆的關(guān)節(jié)不肌肉，使解腰背部丌骨盆搖擺骨盆搖擺（坐式、跪式、站式坐球動(dòng)采取自由體位、呼吸、催眠分娩、按摩體位及支持工依靠分娩球靠墻面滑坐式骨盆搖坐式骨盆搖髖關(guān)節(jié)，前后左右動(dòng)--坐在分娩球上，上下--坐在分娩球上，順時(shí)針戒者逆時(shí)針用分娩--坐在分娩球上，用分娩球帶動(dòng)身體左右搖擺--跪--跪式前跪在軟墊戒者床上，利用分娩球帶動(dòng)身體前后移動(dòng)、旋轉(zhuǎn)戒者--跪--跪式前跪在軟墊戒者床上，利用分娩球作支持，陪伴者給予按摩戒者--側(cè)臥取側(cè)臥位，--側(cè)臥取側(cè)臥位，分娩球放在雙腿之間，利用分娩球作支持，使產(chǎn)婦-半-半坐取半坐臥位，分娩球放在身體后方作支持。-依-依靠墻面滑分娩球放在腰背部作-依靠墻-依靠墻面滑分娩球放在腰背部作支持，依靠墻面慢慢伸展肌肉：大腿內(nèi)側(cè)伸展、背伸肌伸展、腘繩肌帶氧運(yùn)動(dòng)：原地踏步、左右踏步、點(diǎn)步、向前踢妊娠期運(yùn)動(dòng)的妊娠期運(yùn)動(dòng)的建分娩球在圍產(chǎn)期的使用方分娩球的應(yīng)用成增進(jìn)夫妻關(guān)增進(jìn)夫妻關(guān)減少使用止痛縮短產(chǎn)增加自然分減少孤單及無(wú)助(Chandler&Field,Terese,減少使減少使用止痛縮短產(chǎn)促進(jìn)自然分娩，降低剖宮減輕產(chǎn)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).Eff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