Razali Nuguelis, Mohd Nahwari Siti Hayati, Sulaiman Sofiah, Hassan Jamiyah
a Department of Obstetrics and Gynaecology , University Malaya , Kuala Lumpur , Malaysia.
b Department of Obstetrics and Gynaecology, Faculty of Medicine , University Malaya , Kuala Lumpur , Malaysia.
J Obstet Gynaecol. 2017 Jul;37(5):595-600. doi: 10.1080/01443615.2017.1283304. Epub 2017 Mar 13.
Labour induction and augmentation with Prostaglandin and Oxytocin are well established as standard practice worldwide. They are safe when used judiciously, but may be associated with maternal and neonatal morbidities. Other safer alternatives have been studied including dates consumption during late pregnancy with various outcomes. The aim of this randomised controlled trial was to investigate the effect of date fruit consumption during late pregnancy on the onset of labour and need for induction or augmentation of labour. A total of 154 nulliparous women with an uncomplicated singleton pregnancy were randomly allocated to either dates-consumer (77) or control group (77). The women in the dates-consumer group had significantly less need for augmentation of labour and longer intervention to delivery interval. There was no significant difference in the onset of spontaneous labour. Dates consumption reduces the need for labour augmentation but does not expedite the onset of labour. Impact statement • Dates fruit consumption during late pregnancy has been shown to positively affect the outcome of labour and delivery. In this study, date consumption reduced the need for labour augmentation with oxytocin but did not expedite the onset of labour. Therefore, dates consumption in late pregnancy is a safe supplement to be considered as it reduced the need for labour intervention without any adverse effect on the mother and child. This further supports the finding of earlier studies.
使用前列腺素和缩宫素进行引产和催产在全球范围内已被确立为标准做法。谨慎使用时它们是安全的,但可能与孕产妇和新生儿的发病情况有关。人们还研究了其他更安全的替代方法,包括在妊娠晚期食用枣,其结果各异。这项随机对照试验的目的是研究妊娠晚期食用枣对分娩发动以及引产或催产需求的影响。共有154名单胎妊娠无并发症的初产妇被随机分为食用枣组(77人)和对照组(77人)。食用枣组的妇女催产需求显著减少,且从干预到分娩的间隔时间更长。自然分娩发动情况无显著差异。食用枣可减少催产需求,但不会加快分娩发动。影响声明• 妊娠晚期食用枣已被证明对分娩结局有积极影响。在本研究中,食用枣减少了使用缩宫素催产的需求,但并未加快分娩发动。因此,妊娠晚期食用枣是一种安全的补充方法,可予考虑,因为它减少了分娩干预需求,且对母婴无任何不良影响。这进一步支持了早期研究的结果。