Ranjbaran Mehdi, Khorsandi Maahboobeh, Matourypour Pegah, Shamsi Mohsen
Department of Public Health, School of Health, Arak University of Medical Sciences, Arak, Iran.
Department of Epidemiology and Biostatistics, School of Public Health and Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2017 Jul-Aug;22(4):257-261. doi: 10.4103/ijnmr.IJNMR_109_16.
Pain is a common experience for women during labor. Therefore, pain relief care for mothers during labor is very important. This meta-analysis was conducted to evaluate the efficacy of massage therapy on labor pain reduction in primiparous women.
In this meta-analysis, the databases of Web of Knowledge, PubMed, Scopus, Cochrane, Iranmedex, Scientific Information Database (SID), and Magiran were searched for published articles in English and Persian language up to January 2016. Among the studies, with regard to the inclusion and exclusion criteria, 10 studies were selected. Data were analyzed by using Stata software version 11, and standard mean difference (SMD) of effects of massage therapy was calculated. The heterogeneity among studies was evaluated by the Chi-square based Q-test and statistics.
The results of Chi-square based on Q-test and statistics showed heterogeneity among studies in the latent phase ( = 63.52, value < 0.001 and = 87.4%), active phase ( = 26.42, value < 0.001, and = 77.3%), and transitional phase ( = 104.84, value <0.001, and = 95.2%). Results showed that massage therapy reduces labor pain in the latent phase (SMD = -1.23, 95% CI: -1.73 to -0.74), active phase (SMD = -1.59, 95% CI: -2.06 to -1.12), and transitional phase (SMD = -1.90, 95% CI: -3.09 to -0.71).
This study provides valid evidence for the effect of massage therapy in Iran for labor pain relief. Therefore, the use of massage therapy can be recommended in the primiparous women.
疼痛是女性分娩时的常见经历。因此，分娩时为产妇提供疼痛缓解护理非常重要。本荟萃分析旨在评估按摩疗法对初产妇分娩疼痛减轻的疗效。
在本荟萃分析中，检索了截至2016年1月的Web of Knowledge、PubMed、Scopus、Cochrane、Iranmedex、科学信息数据库（SID）和Magiran等数据库中以英文和波斯文发表的文章。在这些研究中，根据纳入和排除标准，选择了10项研究。使用Stata软件11版进行数据分析，并计算按摩疗法效果的标准平均差（SMD）。通过基于卡方的Q检验和I²统计量评估研究间的异质性。
基于Q检验和I²统计量的卡方结果显示，潜伏期（Q = 63.52，P值<0.001，I² = 87.4%）、活跃期（Q = 26.42，P值<0.001，I² = 77.3%）和过渡期（Q = 104.84，P值<0.001，I² = 95.2%）的研究间存在异质性。结果表明，按摩疗法可减轻潜伏期（SMD = -1.23，95%CI：-1.73至-0.74）、活跃期（SMD = -1.59，95%CI：-2.06至-1.12）和过渡期（SMD = -1.90，95%CI：-3.09至-0.71）的分娩疼痛。
本研究为伊朗按摩疗法缓解分娩疼痛的效果提供了有效证据。因此，可推荐初产妇使用按摩疗法。
