使用出生球来减少分娩潜伏阶段的疼痛感知:一项随机对照试验
D C M Mylod1, V Hundley1, S Way1
1Bournemouth University, Faculty of Health and Social Sciences, Bournemouth Gateway Building, St Paul's Lane, Bournemouth, Dorset BH8 8GP, UK.
Women and birth : journal of the Australian College of Midwives
|December 13, 2023
概括
在早期分娩期间在家中使用产球并没有显著减少住院后的疼痛. 然而,这种安全和可接受的策略可能有助于女性管理分娩,并可能减少剖腹产.
科学领域:
- 产科和妇科 产科和妇科
- 围产期护理 围产期护理
- 疼痛管理 疼痛管理
背景情况:
- 早期分娩入院与产科干预增加有关.
- 产妇疼痛是劳动的潜伏阶段住院的常见原因.
- 研究非药理方法来治疗分娩疼痛至关重要.
研究的目的:
- 为了评估在劳动的潜伏阶段在家中使用出生球的有效性.
- 为了确定使用出生球是否减少入院时的疼痛感知.
- 评估对分娩进展和产科干预措施的影响.
主要方法:
- 一个前性,务实的随机受控试验,涉及294名低风险孕妇.
- 参与者在怀孕36周时收到了一个教育视频和一个出生球.
- 首要测量结果是使用视觉模拟尺度在入院时测量疼痛.
主要成果:
- 在入院时,没有观察到平均疼痛分数 (6.3比6.5) 或宫扩张 (4.7厘米比5.0厘米) 的显著差异.
- 观察到干预组中更多的参与者接受了活跃分娩 (63.6%) 和无助性阴道分娩 (70.3%) 的趋势.
- 与对照组 (17.9%) 相比,干预组中发生的产妇宫内剖腹产次数较少 (7.5%),但由于试验的力量,这在统计学上并不显著.
结论:
- 在劳动的潜伏阶段,在家中使用产球是一种安全且被广泛接受的干预措施.
- 这一策略可能有助于妇女管理分娩,可能延迟住院,并降低剖腹产率.
- 建议进行进一步的研究,以证实二次结果中观察到的趋势.
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