在分娩期间的意外剖腹产后,即时与按需的母体口服全:一项随机对照试验
Asmahani Asmary1, Ahmad Sani Nurulhuda1, Jesrine Gek Shan Hong1
1Faculty of Medicine, Department of Obstetrics and Gynecology, Universiti Malaya, Kuala Lumpur, Malaysia.
American journal of obstetrics & gynecology MFM
|May 27, 2023
概括
在无计划的剖腹产后早期口服养并没有增加吐,但也没有改善满意度. 可以选择按需养,但仍应鼓励早期全养,以促进剖腹产后康复 (ERAC).
科学领域:
- 产科和妇科 产科和妇科
- 手术恢复协议 手术恢复协议
- 在剖腹产后改善康复 (ERAC)
背景情况:
- 剖腹产后增强恢复 (ERAC) 协议越来越多地被采用,但对个人干预的证据有限.
- 早期口服是ERAC的关键组成部分,但其对意外剖腹产的影响尚不清楚.
- 在意外剖腹产后,母亲的并发症更为常见.
研究的目的:
- 为了比较即时的口服全 versus在意外剖腹产后的按需口服全.
- 为了评估对母亲吐和在手术后头24小时的满意度的影响.
主要方法:
- 一个随机对照试验,涉及501名参与者进行了无计划剖腹产.
- 参与者被随机分配到即时或按需口服养组.
- 主要结局包括24小时内吐和母亲的满意度;许多次要结局也被评估.
主要成果:
- 在前24小时内吐率在各组之间是相似的 (2.0%即时vs1.2%按需).
- 母亲满意度得分也相似 (两组的8/10).
- 立即食导致第一和第二餐的时间显著缩短,以及第一个肠道声音.
结论:
- 在意外剖腹产后立即口服全并没有增加母亲的满意度,也没有证明与按需养相比,在术后吐方面没有劣势.
- 由于患者的自主权,可能更喜欢按需食,但仍应鼓励早期全食.
- 进一步的研究可能会探索ERAC协议中早期口服摄入的最佳时间和组成.
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