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两阶段热敷对初产妇第一、第二产程疼痛持续时间及阿氏评分的影响:一项随机临床试验

The Effect of Two-Staged Warm Compress on the Pain Duration of First and Second Labor Stages and Apgar Score in Prim Gravida Women: a Randomized Clinical Trial.

作者信息

Akbarzadeh Marzieh, Nematollahi Azar, Farahmand Mahnaz, Amooee Sedigheh

机构信息

Department of Midwifery, Maternal-fetal Medicine Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Midwifery, Community Based Psychiatric Care Research Centre, Fatemeh Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Caring Sci. 2018 Mar 1;7(1):21-26. doi: 10.15171/jcs.2018.004. eCollection 2018 Mar.

Abstract

The aim of this study was to assess the effect of two-stage warm compress technique on the pain duration of the first and second labor stages and neonatal outcomes. The clinical trial was done on 150 women (75 subjects in each groups) in Shiraz-affiliated hospitals in 2012 A two-staged warm compress was done for 15-20 minutes in the first and second labor phase (cervical dilatation of 7 and 10 cm with zero status) while the control group received hospital routine care. The duration of labor and Apgar score were evaluated. According to t-test, the average of labor duration was lower in the intervention group compared to the control group at the second stage. However, there was no significant difference for labor duration at the first stage and the first and fifth minute Apgar score. According to the result, this intervention seems a good method for decreasing labor duration at the second stage of parturition.

摘要

本研究旨在评估两阶段热敷技术对第一产程和第二产程疼痛持续时间以及新生儿结局的影响。2012年,在设拉子附属医院对150名女性(每组75名受试者)进行了临床试验。在第一产程和第二产程(宫颈扩张7厘米和10厘米且无并发症)进行15至20分钟的两阶段热敷,而对照组接受医院常规护理。评估了产程持续时间和阿氏评分。根据t检验,干预组在第二产程的平均产程持续时间低于对照组。然而,在第一产程以及第一分钟和第五分钟的阿氏评分方面,产程持续时间没有显著差异。根据结果,这种干预似乎是缩短分娩第二产程产程持续时间的一种好方法。

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