The Birthing Unit, Gloucestershire Royal Hospital, Gloucester, Gloucestershire, United Kingdom.
J Altern Complement Med. 2012 Oct;18(10):932-8. doi: 10.1089/acm.2011.0254. Epub 2012 Aug 16.
Over the past decade, interest in complementary therapies and alternative medicine has escalated among midwives and the general public in response to increased demand from expectant mothers for more choice, control, and continuity in labor.
The aim of this study was to explore if an aromatherapy and massage intrapartum service (AMIS) reduced the need for analgesia during labor. This article reports results related to the effects of an AMIS on type of analgesia chosen by women in labor, and on rates of anesthesia--one aspect of the full study.
SETTING/LOCATION: The study was conducted in a general maternity unit in southwest England, UK.
A quantitative research approach was taken, whereby contemporaneously completed service evaluation forms of 1079 women (601 nulliparous women and 478 multiparous women; AMIS group) were retrospectively analyzed in comparison with the birth records of an equal number of similar women (comparison group). Data analysis was achieved by entering data from the forms and comparison sample into an SPSS package and running statistical tests.
In the AMIS group, overall analgesia usage was higher for transcutaneous electrical stimulation at 34%, compared with 15.9% (p<0.001 allowing for parity), and for nitrous oxide and oxygen at 87.6%, compared with 80.8% (p<0.001). Pethidine use did not differ after adjustment for parity at 30.1%, compared with 24.2% (p=0.27) in the AMIS and comparison groups, respectively. Rates were lower in the AMIS group for epidural anesthesia at 29.7%, compared with 33.8% (p=0.004 allowing for parity) in the comparison group; spinal anesthesia at 6%; compared with 12.1% (p<0.001) in the comparison group; and general anesthesia at 0.8%, compared with 2.3% (p=0.033) in the comparison group.
Having an AMIS appears to have a positive impact on reducing rates of all types of intrapartum anesthesia. The Service is a beneficial addition to conventional midwifery practice that may influence mode of delivery and reduce general anesthesia rates.
在过去的十年中，由于孕妇对分娩时更多选择、控制和连续性的需求增加，助产士和普通公众对补充疗法和替代医学的兴趣日益增加。
本研究旨在探讨芳香疗法和按摩分娩服务（AMIS）是否能减少分娩时对镇痛的需求。本文报告了与 AMIS 对分娩妇女选择的镇痛类型以及麻醉率（整个研究的一个方面）的关系相关的结果。
该研究在英国西南部的一家普通产科病房进行。
采用定量研究方法，回顾性分析了 1079 名妇女（601 名初产妇和 478 名经产妇；AMIS 组）同时完成的服务评估表，并与同等数量的类似妇女（对照组）的分娩记录进行比较。数据分析是通过将表格和比较样本中的数据输入到 SPSS 软件包中并运行统计检验来实现的。
在 AMIS 组中，经皮电刺激的整体镇痛使用率为 34%，而对照组为 15.9%（p<0.001，考虑到产次）；笑气和氧气的使用率为 87.6%，而对照组为 80.8%（p<0.001）。调整产次后，哌替啶的使用率无差异，分别为 AMIS 组 30.1%和对照组 24.2%（p=0.27）。在 AMIS 组中，硬膜外麻醉的使用率较低，为 29.7%，而对照组为 33.8%（p=0.004，考虑到产次）；蛛网膜下腔麻醉为 6%，对照组为 12.1%（p<0.001）；全身麻醉为 0.8%，对照组为 2.3%（p=0.033）。
提供 AMIS 似乎对降低所有类型的分娩期麻醉率有积极影响。该服务是对传统助产实践的有益补充，可能会影响分娩方式并降低全身麻醉率。
