产前教育对改善分娩和分娩结果的有效性 - - 一项系统性审查和元分析
Emily Hooper1, Olivia Mechkaroff1, Aurora Upitis1
1School of Clinical Medicine, Rural Clinical Campus, Faculty of Medicine and Health, University of New South Wales, Port Macquarie, Australia.
Women and birth : journal of the Australian College of Midwives
|January 3, 2025
概括
产前教育,特别是一般计划和分娩计划,与较少的计划式剖腹产和更多的阴道分娩有关. 特定技术对分娩和分娩结果的影响较小.
科学领域:
- 产科和妇科 产科和妇科
- 基于证据的医学基于证据的医学.
- 孕产妇健康 孕产妇健康
背景情况:
- 世界卫生组织建议将产前教育纳入标准产前护理.
- 关于产前教育对分娩和分娩结果的影响现有证据是可变的.
- 本研究系统地审查随机对照试验 (RCT) 证据.
研究的目的:
- 评估产前教育对关键劳动和分娩结果的影响.
- 为了比较不同类型的产前教育干预措施的有效性.
- 综合RCT关于产前教育影响的证据.
主要方法:
- 系统性审查和RCT的元分析.
- 在主要的电子数据库 (CINAHL,PubMed,Embase,Scopus) 搜索了2011-2023年的研究.
- 使用Cochrane风险偏差2工具评估偏差风险,并使用RevMan.Man进行元分析.
主要成果:
- 包括17项研究 (7260名参与者);大多数有偏见的风险较低.
- 产前教育减少了预定的剖腹产 (RR 0.87) 和增加了阴道分娩 (RR 1.14).
- 一般教育和分娩计划干预比特定技术更有效.
结论:
- 产前教育计划可以改善某些劳动和分娩结果.
- 与出生方式和外周止痛相关的发现存在异质性.
- 一般的产前教育似乎比特定技术的教育更有益.
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