Takeuchi Shoko, Horiuchi Shigeko
Yokohama City University, Kanagawa, Japan.
St Luke's International University, Tokyo, Japan; St Luke's Birth Clinic, Tokyo, Japan.
Women Birth. 2016 Oct;29(5):430-435. doi: 10.1016/j.wombi.2016.01.010. Epub 2016 Feb 19.
In Japan, the rate of pregnant women who practice antenatal perineal massage was only 15.1%.
The aim of this study was to develop and evaluate a smartphone website and a leaflet to support antenatal perineal massage practice for primiparous women.
In a randomised control trial, 161 primiparous women were randomly assigned to a smartphone website group (n=81) or a leaflet group (n=80). Data analysis were by per protocol analysis and intention to treat analysis.
Of the 161 women participants, 47 in the smartphone website group and 49 in the leaflet group completed all questionnaires. Primary outcome was continuance rate (three times a week over a three week period) of antenatal perineal massage practice. The rates by a per protocol analysis were 51.1% in the smartphone website group and 51.0% in the leaflet group, respectively. There was no significant difference between the groups. Moreover, the rates by an intention to treat analysis were 29.6% in the smartphone website group and 31.3% in the leaflet group, respectively. There was also no significant difference between the groups. There were no significant differences in the evaluation of perineal massage, childbirth self-efficacy, satisfaction with efforts towards childbirth, and perineal outcomes following childbirth which were measured as secondary outcomes between the groups.
There was no significant difference in continuance rate of antenatal perineal massage practice between those using a smartphone website and those with a leaflet, however, the rate was better than no instructions.
在日本，进行产前会阴按摩的孕妇比例仅为15.1%。
本研究旨在开发并评估一个智能手机网站和一份宣传册，以支持初产妇进行产前会阴按摩。
在一项随机对照试验中，161名初产妇被随机分为智能手机网站组（n = 81）或宣传册组（n = 80）。数据分析采用符合方案分析和意向性分析。
161名女性参与者中，智能手机网站组有47人，宣传册组有49人完成了所有问卷。主要结局是产前会阴按摩练习的持续率（在三周内每周三次）。符合方案分析得出的两组持续率分别为智能手机网站组51.1%，宣传册组51.0%。两组之间无显著差异。此外，意向性分析得出的两组持续率分别为智能手机网站组29.6%，宣传册组31.3%。两组之间也无显著差异。作为次要结局测量的会阴按摩评估、分娩自我效能感、对分娩努力的满意度以及产后会阴结局在两组之间无显著差异。
使用智能手机网站的人群和使用宣传册的人群在产前会阴按摩练习的持续率上无显著差异，然而，该持续率高于无指导的情况。
