Labrecque M, Eason E, Marcoux S
Department of Family Medicine, Laval University, Canada.
BJOG. 2001 May;108(5):499-504. doi: 10.1111/j.1471-0528.2001.00111.x.
To determine how women who practised perineal massage during pregnancy assessed the technique.
Observational study within one arm of a randomised controlled trial.
Five secondary and tertiary care hospitals in the Province of Quebec, Canada.
Among 763 women randomised to the massage arm of a clinical trial of perineal massage during pregnancy, 684 (90%) who completed a questionnaire after delivery.
A 20-item questionnaire completed a few days after birth. The first 18 questions elicited opinions using a 6-point Likert scale. Based on a factor analysis, 17 of these questions were classified into four categories: acceptability of perineal massage (8 items); preparation for birth (4 items); relationship with the partner (2 items); and effect of massage on delivery (3 items). Scores of each scale varied between 1 (highly negative assessment) to 6 (highly positive assessment). The last two questions asked whether women would perform the massage in their next pregnancy and whether they would recommend perineal massage to another pregnant woman. In addition, 262 also provided comments about their experience in the daily diary provided to record compliance during the trial.
On average, perineal massage was felt to be quite acceptable [mean (standard deviation) 4.09 (0.93)]. Pain and technical problems reported during the first week or two of massage tended to disappear after a few weeks. Women's assessment of the effect of massage on preparation for birth [4.34 (1.08)] and on delivery [4.18 (1.37)] was positive. Women's views about the effect on their relationship with their partner were either positive or negative [3.54 (1.74)] and were proportional to the partner's participation with the massage. Most women said they would massage again if they were to have another pregnancy (79%; 95% CI, 76%-82%) and would recommend it to another pregnant woman (87%; 95% CI 84%-90%).
Overall, women's assessment of prenatal perineal massage is positive.
确定孕期进行会阴按摩的女性如何评价该技术。
一项随机对照试验单臂内的观察性研究。
加拿大魁北克省的五家二级和三级护理医院。
在763名被随机分配到孕期会阴按摩临床试验按摩组的女性中，684名（90%）在产后完成了问卷调查。
产后几天完成的一份包含20个条目的问卷。前18个问题采用6点李克特量表来征集意见。基于因子分析，这些问题中的17个被分为四类：会阴按摩的可接受性（8个条目）；分娩准备（4个条目）；与伴侣的关系（2个条目）；以及按摩对分娩的影响（3个条目）。每个量表的得分在1（高度负面评价）至6（高度正面评价）之间变化。最后两个问题询问女性是否会在下次怀孕时进行按摩，以及她们是否会向另一位孕妇推荐会阴按摩。此外，262名女性还在提供的日常日记中对她们在试验期间记录依从性的经历发表了评论。
总体而言，会阴按摩被认为是相当可接受的[均值（标准差）4.09（0.93）]。在按摩的头一两周报告的疼痛和技术问题在几周后往往会消失。女性对按摩对分娩准备的影响[4.34（1.08）]和对分娩的影响[4.18（1.37）]的评价是积极的。女性对其与伴侣关系的影响的看法既有积极的也有消极的[3.54（1.74）]，并且与伴侣参与按摩的程度成正比。大多数女性表示，如果她们再次怀孕，会再次进行按摩（79%；95%置信区间，76%-82%），并会向另一位孕妇推荐（87%；95%置信区间84%-90%）。
总体而言，女性对产前会阴按摩的评价是积极的。
