会阴按摩对会阴切开术发生率及会阴撕裂的影响。
Effect of perineal massage on the rate of episiotomy and perineal tearing.
作者信息
Demirel Gulbahtiyar, Golbasi Zehra
机构信息
Department of Midwifery, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.
Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.
出版信息
Int J Gynaecol Obstet. 2015 Nov;131(2):183-6. doi: 10.1016/j.ijgo.2015.04.048. Epub 2015 Jul 26.
OBJECTIVE
To examine the effects of perineal massage during active labor on the frequency of episiotomy and perineal tearing.
METHODS
A randomized controlled study was conducted at a center in Sivas, Turkey, between January 1, 2010, and May 31, 2011. Healthy pregnant women presenting for their first or second delivery at 37-42 weeks of pregnancy were enrolled during the first stage of labor. Participants were randomly assigned (1:1) to the massage group (10-minute perineal massage with glycerol four times during the first stage and once during the second stage of labor) or control group (routine care). The frequency of episiotomy and perineal tearing were compared between the groups. Participants and investigators were not masked to group assignment.
RESULTS
Both groups contained 142 participants. Episiotomy was performed among 44 (31.0%) women in the massage group and 99 (69.7%) in the control group (P = 0.001). Lacerations were recorded among 13 (4.2%) women in the massage group and 6 (4.2%) in the control group (P = 0.096).
CONCLUSION
Application of perineal massage during active labor decreased the frequency of episiotomy procedures. ClinicalTrials.gov:NCT02201615.
目的
探讨活跃期分娩时会阴按摩对会阴切开术及会阴撕裂发生率的影响。
方法
2010年1月1日至2011年5月31日在土耳其锡瓦斯的一个中心进行了一项随机对照研究。在分娩第一阶段纳入妊娠37 - 42周首次或第二次分娩的健康孕妇。参与者被随机（1:1）分配至按摩组（在分娩第一阶段进行4次每次10分钟的甘油会阴按摩，第二阶段进行1次）或对照组（常规护理）。比较两组间会阴切开术及会阴撕裂的发生率。参与者和研究者未对分组情况设盲。
结果
两组均有142名参与者。按摩组44名（31.0%）女性进行了会阴切开术，对照组99名（69.7%）（P = 0.001）。按摩组13名（4.2%）女性有会阴裂伤记录，对照组6名（4.2%）（P = 0.096）。
结论
活跃期分娩时应用会阴按摩可降低会阴切开术的发生率。ClinicalTrials.gov:NCT02201615。
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