产前呼吸练习对分娩结果的有效性:一项随机对照试验
Sushmitha R Karkada1, Judith A Noronha1, Shashikala K Bhat2
1Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
F1000Research
|July 24, 2023
概括
产前呼吸练习显著增加了第一次母亲的自发分娩和阴道分娩. 这种简单的技术还减少了分娩时间和对剖腹产等干预措施的需求.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 非药物治疗的疼痛管理
背景情况:
- 出生是妇女和家庭的一次重要生命事件.
- 许多妇女不知道可用的非药物治疗方法对分娩困境的好处.
- 初怀孕的妇女可能会从简单,易于使用的劳动支持方法中受益.
研究的目的:
- 评估产前呼吸练习对产妇分娩结果的影响.
- 评估这种非药理学方法对初怀孕妇女的影响.
主要方法:
- 一个单中心,前性,单盲,随机对照试验.
- 参与者是初怀孕的妇女,随机分为干预 (呼吸练习) 和标准护理组.
- 测量结果包括劳动开始,分娩类型,持续时间和增强需求,使用WHO部分图.
主要成果:
- 练习产前呼吸练习的妇女的自发分娩率显著更高 (70%).
- 与对照组相比,干预组自发分娩的几率是2.192倍 (p<.001).
- 劳动增强的减少需要,较少的剖腹产 (p<.05),和较短的平均劳动持续时间 (p<.001) 被观察到.
结论:
- 产前呼吸练习有效促进自发性阴道分娩.
- 这种技术可以缩短分娩时间,减少手术干预的必要性.
- 呼吸练习提供了一种有益的非药物治疗方法,以提高产妇在分娩期间的结果.
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