Dahlen Hannah G, Homer Caroline S E, Cooke Margaret, Upton Alexis M, Nunn Rosalie A, Brodrick Belinda S
Sydney South Western Area Health Service, Eastern Sector, Australia.
Midwifery. 2009 Apr;25(2):e39-48. doi: 10.1016/j.midw.2007.08.002. Epub 2007 Nov 26.
to determine women's and midwives' experiences of using perineal warm packs in the second stage of labour.
as part of a randomised controlled trial (Warm Pack Trial), women and midwives were asked to complete questionnaires about the effects of the warm packs on pain, perineal trauma, comfort, feelings of control, satisfaction and intentions for use during future births.
two hospitals in Sydney, Australia.
a randomised controlled trial was undertaken. In the late second stage of labour, nulliparous women (n=717) giving birth were randomly allocated to having warm packs (n=360) applied to their perineum or standard care (n=357). Standard care was defined as any second stage practice carried out by midwives that did not include the application of warm packs to the perineum. Three hundred and two nulliparous women randomised to receive warm packs (84%) received the treatment. Questionnaires were completed by 266 (88%) women who received warm packs, and 270 (89%) midwives who applied warm packs to these women.
warm, moist packs were applied to the perineum in the late second stage of labour.
warm packs were highly acceptable to both women and midwives as a means of relieving pain during the late second stage of labour. Almost the same number of women (79.7%) and midwives (80.4%) felt that the warm packs reduced perineal pain during the birth. Both midwives and women were positive about using warm packs in the future. The majority of women (85.7%) said that they would like to use perineal warm packs again for their next birth and would recommend them to friends (86.1%). Likewise, 91% of midwives were positive about using the warm packs, with 92.6% considering using them in the future as part of routine care in the second stage of labour.
responses to questionnaires, eliciting experiences of women and midwives involved in the Warm Pack Trial, demonstrated that the practice of applying perineal warm packs in the late second stage of labour was highly acceptable and effective in helping to relieve perineal pain and increase comfort.
perineal warm packs should be incorporated into second stage pain relief options available to women during childbirth.
确定女性和助产士在第二产程中使用会阴热敷包的体验。
作为一项随机对照试验（热敷包试验）的一部分，要求女性和助产士完成关于热敷包对疼痛、会阴创伤、舒适度、控制感、满意度以及未来分娩时使用意愿影响的问卷调查。
澳大利亚悉尼的两家医院。
进行了一项随机对照试验。在第二产程后期，将分娩的初产妇（n = 717）随机分为两组，一组（n = 360）在会阴处使用热敷包，另一组（n = 357）接受标准护理。标准护理定义为助产士在第二产程中进行的任何不包括会阴热敷的操作。随机分配接受热敷包的302名初产妇（84%）接受了治疗。266名（88%）接受热敷包的女性和270名（89%）为这些女性使用热敷包的助产士完成了问卷调查。
在第二产程后期将温热的湿热敷包敷于会阴处。
热敷包作为第二产程后期缓解疼痛的一种方式，女性和助产士都高度认可。几乎相同比例的女性（79.7%）和助产士（80.4%）认为热敷包在分娩过程中减轻了会阴疼痛。助产士和女性对未来使用热敷包都持积极态度。大多数女性（85.7%）表示下次分娩还想使用会阴热敷包，并会向朋友推荐（86.1%）。同样，91%的助产士对使用热敷包持积极态度，92.6%的助产士考虑在未来将其作为第二产程常规护理的一部分。
对参与热敷包试验的女性和助产士的体验进行问卷调查的结果表明，在第二产程后期使用会阴热敷包的做法高度可接受，且在帮助缓解会阴疼痛和提高舒适度方面有效。
会阴热敷包应纳入分娩时女性可选择的第二产程疼痛缓解方法中。
