使用花生球降低硬膜外麻醉产妇的产程及剖宫产手术率
Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural.
作者信息
Tussey Christina Marie, Botsios Emily, Gerkin Richard D, Kelly Lesly A, Gamez Juana, Mensik Jennifer
出版信息
J Perinat Educ. 2015;24(1):16-24. doi: 10.1891/1058-1243.24.1.16.
Abstract
One strategy for reducing the primary cesarean surgery rate and length of labor is using a peanut-shaped exercise ball for women laboring under epidural analgesia. A randomized, controlled study was conducted to determine whether use of a "peanut ball" decreased length of labor and increased the rate of vaginal birth. Women who used the peanut ball (n = 107) versus those who did not (n = 91) demonstrated shorter first stage labor by 29 min (p = .053) and second stage labor by 11 min (p < .001). The intervention was associated with a significantly lower incidence of cesarean surgery (OR = 0.41, p = .04). The peanut ball is potentially a successful nursing intervention to help progress labor and support vaginal birth for women laboring under epidural analgesia.
摘要
降低首次剖宫产手术率和产程时长的一种策略是，让接受硬膜外镇痛分娩的女性使用花生形状的健身球。一项随机对照研究旨在确定使用“花生球”是否能缩短产程并提高阴道分娩率。使用花生球的女性（n = 107）与未使用的女性（n = 91）相比，第一产程缩短了29分钟（p = 0.053），第二产程缩短了11分钟（p < 0.001）。该干预措施与剖宫产手术发生率显著降低相关（OR = 0.41，p = 0.04）。对于接受硬膜外镇痛分娩的女性，花生球可能是一种成功的护理干预措施，有助于推动产程进展并支持阴道分娩。
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