孕期及分娩按摩。
Pregnancy and labor massage.
作者信息
Field Tiffany
机构信息
Touch Research Institute, University of Miami School of Medicine, Department of Pediatrics (D-820), PO Box 016820, Miami, FL 33101, USA.
出版信息
Expert Rev Obstet Gynecol. 2010 Mar;5(2):177-181. doi: 10.1586/eog.10.12.
Massage therapy has been demonstrated to be effective during pregnancy. Women who received massage therapy reported decreased depression, anxiety, and leg and back pain. Cortisol levels decreased and, in turn, excessive fetal activity decreased, and the rate of prematurity was lower in the massage group. In a study of labor pain, women who received massage therapy experienced significantly less pain, and their labors were on average 3 h shorter with less need for medication. An underlying mechanism we have been exploring is that these effects are mediated by increased vagal activity. This likely occurs by the stimulation of pressure receptors that are innervated by vagal afferent fibers, which ultimately project to the limbic system, including hypothalamic structures involved in autonomic nervous system regulation and cortisol secretion.
按摩疗法已被证明在孕期有效。接受按摩疗法的女性报告称，抑郁、焦虑以及腿部和背部疼痛有所减轻。皮质醇水平下降，进而过度的胎儿活动减少，按摩组的早产率较低。在一项关于分娩疼痛的研究中，接受按摩疗法的女性疼痛明显减轻，她们的分娩时间平均缩短3小时，用药需求也更少。我们一直在探索的一个潜在机制是，这些效果是由迷走神经活动增加介导的。这可能是通过刺激由迷走神经传入纤维支配的压力感受器而发生的，这些感受器最终投射到边缘系统，包括参与自主神经系统调节和皮质醇分泌的下丘脑结构。
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