Bolbol-Haghighi Nahid, Masoumi Seyedeh Zahra, Kazemi Farideh
Faculty, Department of Midwifery, Faculty of Nursing and Midwifery, Shahroud University of Medical Sciences , Shahroud, Iran .
Assistant Professor, Department of Midwifery, Research Center for Child and Maternity Care, School of Nursing and Midwifery, Hamadan University of Medical Sciences , Hamadan, Iran .
J Clin Diagn Res. 2016 Apr;10(4):QC12-5. doi: 10.7860/JCDR/2016/17447.7688. Epub 2016 Apr 1.
Massage is an old technique that is widely used in childbirth and can decrease the childbirth pain by reducing the adrenaline and noradrenaline and increasing the endorphins and oxytocin and reduce the childbirth duration by increasing the uterine contractions. Therefore.
This study is aimed to evaluate the effect of massage therapy on the duration of labour.
The present study was performed as randomized controlled clinical trial method on 100 pregnant women referred to maternity ward in Fatemieh Hospital, Shahroud. Subjects with inclusion criteria and who were interested to participate in the study were placed in one of the test or control groups based on pre-specified sequence. Questionnaires were completed in several stages. Data analysis was conducted using chi-square test, Fisher's exact test, independent t-test, Mann-Whitney test and multivariate linear regression in SPSS-21software. In data analysis, p < 0.05 was considered significant.
The results of multivariate linear regression showed that the duration of the first and second stage labour in the massage receiving group is significantly decreased compared to the test group (p= 0.004 and p= 0.02, respectively). In addition, the Apgar scores at minutes 1 and 5 in test group is significantly increased compared to control group (p <0.0001).
The findings of this study showed that massage therapy during labour will lead to shortening of the first and second stage labour duration and improve Apgar scores at the first and fifth minutes. By shortening the duration of labour, pregnant women tend to have more normal vaginal delivery.
按摩是一种古老的技术,在分娩中被广泛使用,它可以通过减少肾上腺素和去甲肾上腺素、增加内啡肽和催产素来减轻分娩疼痛,并通过增强子宫收缩来缩短分娩时间。因此。
本研究旨在评估按摩疗法对产程的影响。
本研究采用随机对照临床试验方法,对100名转诊至沙赫鲁德法特米耶医院产科病房的孕妇进行研究。符合纳入标准且有兴趣参与研究的受试者根据预先指定的顺序被分配到试验组或对照组之一。问卷在几个阶段完成。使用SPSS-21软件中的卡方检验、费舍尔精确检验、独立t检验、曼-惠特尼检验和多元线性回归进行数据分析。在数据分析中,p<0.05被认为具有统计学意义。
多元线性回归结果显示,与试验组相比,接受按摩组的第一产程和第二产程时间显著缩短(分别为p = 0.004和p = 0.02)。此外,试验组1分钟和5分钟时的阿氏评分与对照组相比显著提高(p<0.0001)。
本研究结果表明,分娩期间的按摩疗法可缩短第一产程和第二产程时间,并提高第1分钟和第5分钟时的阿氏评分。通过缩短产程,孕妇更倾向于进行正常的阴道分娩。