Kim Hyun Hee, Nava-Ocampo Alejandro A, Kim Sun Kyung, Kim Seo Hui, Kim Yun Ju, Han Jung Yeol, Ahn Hyun Kyong, Ryu Hyun Mee, Yang Jae Hyug, Kim Moon Young
Department of Nursing, Cheil Hospital & Women's Health Care Center, Kwandong University College of Medicine, Seoul, Korea.
Acta Biomed. 2008 Apr;79(1):18-22.
Sophrology, based on a combination of Western relaxation therapy and Eastern yoga and meditation might decrease maternal stress during labor. This study aimed to evaluate whether prenatal sophrologic childbirth preparation may decrease maternal and neonatal adverse response associated with delivery. In a nested case-control study, 69 nulliparous, singleton pregnant women who underwent an educational course of sophrologic childbirth preparation were compared to 69 nulliparous, singleton, age- and gestational age-matched pregnant women who did not receive any childbirth preparation. All babies were vaginally delivered. Groups were not different (P > 0.05) in the number of neonates born with meconium-stained amniotic fluid as well as in the number of babies with Apgar score < or = 7 at 1 and 5 minutes after birth. Duration of labor was not different between groups. The number of women requiring oxytocin and delivering babies with low pH blood levels tended to be lower in the group undergoing sophrologic childbirth preparation, i.e. 58.0% vs 72.5% (P = 0.07) and 1.4% vs 10.9% (P = 0.06), respectively. In conclusion, we were unable to confirm that prenatal sophrologic childbirth preparation has a definitive role in decreasing adverse maternal and fetal response to pain or in shortening labor. Prospective cohort studies with a larger sample size or randomized trials may help to clarify this gap.
身心学基于西方放松疗法与东方瑜伽及冥想的结合，可能会减轻分娩时的产妇压力。本研究旨在评估产前身心学分娩准备是否可减少与分娩相关的母婴不良反应。在一项巢式病例对照研究中，将69名接受身心学分娩准备教育课程的初产单胎孕妇与69名未接受任何分娩准备、年龄及孕周匹配的初产单胎孕妇进行比较。所有婴儿均经阴道分娩。两组在出生时羊水粪染的新生儿数量以及出生后1分钟和5分钟时阿氏评分≤7分的婴儿数量方面无差异（P>0.05）。两组间产程无差异。接受身心学分娩准备的组中，需要催产素的女性数量以及出生时血液pH值低的婴儿数量往往较低，分别为58.0%对72.5%（P=0.07）和1.4%对10.9%（P=0.06）。总之，我们无法证实产前身心学分娩准备在减少母婴对疼痛的不良反应或缩短产程方面具有决定性作用。样本量更大的前瞻性队列研究或随机试验可能有助于填补这一空白。
