在分娩过程中规范的呼吸方法:一项随机对照试验
Kaouther Dimassi1, Ahmed Halouani2, Farah Ben Zina2
1Department of Obstetrics and Gynecology, University Hospital Mongi Slim La Marsa, Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia; Obstetrics and Gynecology Department, Robert Bisson Hospital, Lisieux, France.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
|November 8, 2023
概括
调节性排气方法 (REM) 并没有显著降低剖腹产率,但缩短了分娩时间,并改善了分娩体验. 助产士报告说,在分娩期间对呼吸,推力和沟通有积极的影响.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 劳动和交付管理 劳动和交付管理
背景情况:
- 出生管理策略旨在优化母亲和胎儿的结果.
- 建议采用受规范的排气方法 (REM) 来影响分娩进展和母亲的经验.
- 关于REM对剖腹产产率和劳动动力学的影响的证据有限.
研究的目的:
- 为了评估一个受管制的呼吸法 (REM) 对分娩过程的影响.
- 评估REM对剖腹产分娩率和分娩时间的影响.
- 探索REM对母亲分娩经验和疼痛管理的影响.
主要方法:
- 随机试验比较REM干预与标准护理.
- 纳入标准:第一次母亲,自发分娩发作,头部表现.
- 主要结果:剖腹产分娩率;次要结果:分娩时间,出生类型,疼痛评分,质量经验.
主要成果:
- 剖腹产产率没有显著差异 (18.3%与26.7%,P=0.274).
- 在第二阶段的分娩显著减少 (P=0.039) 和推进努力时间 (P=0.003) 与REM.
- 根据助产士的说法,REM积极影响了母亲的呼吸,推动强度,沟通和整体分娩体验.
结论:
- 快速睡眠显示了缩短分娩时间和改善疼痛管理的潜力.
- 快速睡眠显著增强了母亲的分娩经历.
- 虽然并没有显著降低剖腹产率,但REM在劳动管理和患者满意度方面提供了好处.
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