分娩第二产程中会阴按摩对初产妇会阴的影响：一项随机临床试验。
The effect of perineal massage during the second stage of birth on nulliparous women perineal: A randomization clinical trial.
作者信息
Shahoei Roonak, Zaheri Farzaneh, Nasab Lila Hashemi, Ranaei Fariba
机构信息
Ph.D. of Midwifery, Associate Professor, Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Department of Midwifery, Faculty of Nursing & Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
出版信息
Electron Physician. 2017 Oct 25;9(10):5588-5595. doi: 10.19082/5588. eCollection 2017 Oct.
BACKGROUND
Childbirth and puerperium are of the most important periods in women's lives and can affect different aspects of their lives.
OBJECTIVE
To determine the effect of perineal massage in the second stage of labor on perineal lacerations, episiotomy, and perineal pain in nulliparous women.
METHODS
This randomization clinical trial was conducted at Be'sat Hospital in Sanandaj, Iran, from 2013 to 2014. A total of 195 nulliparous women were included in the study. The participants were selected through convenience sampling, and randomly assigned to two groups: intervention and control groups. The intervention group received 30-minute perineal massage during second stage of labor. Subsequently, we analyzed perineal laceration, episiotomy, and perineal pain among the two groups. All of them were taught about postpartum perineal pain and its severity, and the researcher followed them up 3 days, 10 days, and 3 months after childbirth by telephone. The data were analyzed using SPSS version 18. We used descriptive statistics and analytical statistics, including t test, Chi-square test, and Fisher's test.
RESULTS
Frequency of episiotomy was 69.47% in the intervention group and 92.31% in the control group, and the difference was statistically significant (p<0.05). The results revealed 23.16% of first-degree perineal laceration and 2.11% of second-degree perineal laceration in the intervention group, and no vestibular laceration or third- and fourth-degree lacerations in the intervention group. However, there were 5.13% of vestibular laceration, 7.69% of first-degree laceration, 2.56% of second-degree laceration, and 1.05% of third-degree laceration (one woman) in the control group. Based on the results, the postpartum perineal pain was significantly different in both groups.
CONCLUSION
Regarding the results of this study and those of other studies, perineal massage during the second stage of labor can reduce the need to episiotomy, perineal injuries, and perineal pain.
TRIAL REGISTRATION
The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct.ID: IRCT2013090314556N1.
FUNDING
This study received by financial support of Kurdistan University of Medical Sciences, Sanandaj, Iran.
背景
分娩和产褥期是女性生命中最重要的时期，会影响她们生活的方方面面。
目的
确定分娩第二产程中会阴按摩对初产妇会阴裂伤、会阴切开术及会阴疼痛的影响。
方法
这项随机临床试验于2013年至2014年在伊朗萨南达杰的贝萨特医院进行。共有195名初产妇纳入研究。参与者通过便利抽样选取，并随机分为两组：干预组和对照组。干预组在分娩第二产程接受30分钟的会阴按摩。随后，我们分析了两组的会阴裂伤、会阴切开术及会阴疼痛情况。所有参与者均被告知产后会阴疼痛及其严重程度，研究人员在产后3天、10天和3个月通过电话对她们进行随访。数据使用SPSS 18版进行分析。我们使用了描述性统计和分析性统计，包括t检验、卡方检验和费舍尔检验。
结果
干预组会阴切开术的发生率为69.47%，对照组为92.31%，差异有统计学意义（p<0.05）。结果显示，干预组有23.16%的一度会阴裂伤和2.11%的二度会阴裂伤，干预组无前庭裂伤或三度及四度裂伤。然而，对照组有5.13%的前庭裂伤、7.69%的一度裂伤、2.56%的二度裂伤和1.05%的三度裂伤（一名女性）。根据结果，两组产后会阴疼痛有显著差异。
结论
基于本研究及其他研究结果，分娩第二产程中的会阴按摩可减少会阴切开术的需求、会阴损伤及会阴疼痛。
试验注册
该试验在伊朗临床试验注册中心（http://www.irct.ir）注册，注册号为：Irct.ID: IRCT2013090314556N1。
资金来源
本研究获得了伊朗萨南达杰库尔德斯坦医科大学的资金支持。
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