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妊娠晚期食用枣对初产妇产程的影响。

Effect of Dates in Late Pregnancy on the Duration of Labor in Nulliparous Women.

作者信息

Kordi Masoumeh, Meybodi Fatemeh Aghaei, Tara Fatemeh, Fakari Farzaneh Rashidi, Nemati Mohsen, Shakeri Mohammadtaghi

机构信息

Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Center for Women's Health Research, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Iran J Nurs Midwifery Res. 2017 Sep-Oct;22(5):383-387. doi: 10.4103/ijnmr.IJNMR_213_15.

Abstract

BACKGROUND

Long-term delivery is an important significant issue which is associated with mortality and fetal and maternal disorders. Based on the previous studies, consumption of dates affects uterine contractions and duration of delivery processes. This study aimed to study the effect of date consumption in late pregnancy on the duration of delivery processes in nulliparous women in 2013.

MATERIALS AND METHODS

This randomized clinical trial was conducted among 182 nulliparous women 18-35 years who presented to OmAlBanin Hospital in Mashhad in 2013. The comparison has been made between 91 pregnant women who consumed 70-76 g dates daily from the 37th week of pregnancy and 91 pregnant women who did not consume dates. Data collection tool was a questionnaire and a checklist of daily dates' intake. Data were analyzed using the Statistical Package for the Social Sciences software and statistical tests - chi-square and Mann-Whitney test, and value <0.05 was considered significant.

RESULTS

The average length of active phase ( = 0.0001), length of second phase ( = 0.0001), and third phase ( = 0.004) in two groups had statistically significant difference. The average length of the second phase ( = 0.03) and the third phase ( = 0.02) in case of spontaneous start of delivery in the intervention group was significantly lower than the control group. Use of oxytocin to accelerate delivery had a significant difference between the two groups ( < 0.001).

CONCLUSION

According to the results of this study, consuming dates in late pregnancy was effective in decreasing length of labor processes and reduced the need of oxytocin for labor acceleration. Thus, it is recommended to consume dates in women without contraindications.

摘要

背景

长期分娩是一个与死亡率以及胎儿和母亲疾病相关的重要问题。根据先前的研究,食用枣会影响子宫收缩和分娩过程的持续时间。本研究旨在探讨2013年晚期妊娠食用枣对初产妇分娩过程持续时间的影响。

材料与方法

本随机临床试验于2013年在马什哈德的奥马尔巴宁医院对182名年龄在18 - 35岁的初产妇进行。将91名从妊娠第37周起每天食用70 - 76克枣的孕妇与91名未食用枣的孕妇进行比较。数据收集工具是一份问卷和每日枣摄入量清单。使用社会科学统计软件包进行数据分析,并采用卡方检验和曼 - 惠特尼检验,P值<0.05被认为具有统计学意义。

结果

两组活跃期平均时长(P = 0.0001)、第二产程时长(P = 0.0001)和第三产程时长(P = 0.004)有统计学显著差异。干预组自然发动分娩时第二产程平均时长(P = 0.03)和第三产程平均时长(P = 0.02)显著低于对照组。两组在使用缩宫素加速分娩方面有显著差异(P < 0.001)。

结论

根据本研究结果,晚期妊娠食用枣可有效缩短产程,并减少使用缩宫素加速分娩的需求。因此,建议无禁忌证的女性食用枣。

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