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孕期和产后期间按摩的副作用和母婴相关身体伤害:一项观察性研究。

The side effects and mother or child related physical harm from massage during pregnancy and the postpartum period: An observational study.

机构信息

Western Sydney University, School of Medicine, Locked Bag 1797, Penrith, NSW 2751, Australia.

Pregnancy Massage Australia, PO Box 86, Bright, VIC 3741, Australia.

出版信息

Complement Ther Med. 2019 Feb;42:89-94. doi: 10.1016/j.ctim.2018.11.002. Epub 2018 Nov 3.

Abstract

INTRODUCTION

Women commonly use massage therapy during pregnancy for pregnancy-related health conditions such as lower back and neck pain; however, there is little to no research related evidence on the side effects or mother or child physical harm of massage during pregnancy and the postnatal period.

OBJECTIVES

This study aims to report on the side effects and mother or child physical harm of massage during pregnancy and the postnatal period.

DESIGN

An observational study methodology.

SETTING AND TIME FRAME

Two massage clinics, one in Sydney and one in Melbourne recruited participants from December 2016 to December 2017.

INTERVENTION

Massage.

MAIN OUTCOME MEASURE

Side effects and mother or child physical harm from massage.

RESULTS

One hundred and one participants were recruited to the study. Two fifths of the participants (n = 32, 40%) experienced one of more post-massage side effects. There were no mother or child physical harm events. Low back pain was the most common condition women sought massage treatment for 34 (33.7.%). A significant benefit (p < 0.001) was seen pre-massage to post-massage and pre-massage to 1-week post massage in decreasing stress, decreasing pain, increasing range of motion and improving sleep DISCUSSION: Similar to previous research, low back pain was the most common condition that women sought massage treatment for followed by hip pain, shoulder pain, neck pain and to improve mental health. Ninety-seven percent of the cohort received a full body massage including the feet leading credence that 'massage on the feet during pregnancy is harmful' is mythic in nature.

CONCLUSION

While our findings lead credence that massage on the feet during pregnancy is a myth the study was not powered to determine the safety of pregnancy massage and further research is needed. Massage was commonly sought for low back pain with promising benefits in decreased pain and improved range of movement and further research on the effectiveness of massage for low back pain in pregnancy.

摘要

简介

女性在怀孕期间常因腰背和颈部疼痛等与妊娠相关的健康问题而选择按摩疗法;然而,几乎没有研究证据表明怀孕期间和产后进行按摩会产生副作用,或对母婴造成身体伤害。

目的

本研究旨在报告怀孕期间和产后进行按摩的副作用以及对母婴造成的身体伤害。

设计

观察性研究方法。

地点和时间

2016 年 12 月至 2017 年 12 月,悉尼和墨尔本的两家按摩诊所招募了参与者。

干预措施

按摩。

主要观察指标

按摩的副作用和母婴身体伤害。

结果

本研究共招募了 101 名参与者。五分之二的参与者(n=32,40%)在按摩后出现了一种或多种副作用。没有母婴身体伤害事件。34 名(33.7%)女性因腰背疼痛寻求按摩治疗,这是最常见的病症。在降低压力、减轻疼痛、增加活动范围和改善睡眠方面,按摩后即刻和按摩后 1 周时均较按摩前有显著改善(p<0.001)。

讨论

与之前的研究相似,腰背疼痛是女性寻求按摩治疗的最常见病症,其次是髋部疼痛、肩部疼痛、颈部疼痛和改善心理健康。97%的患者接受了全身按摩,包括足部,这表明“孕期足部按摩有害”的说法纯属无稽之谈。

结论

虽然我们的研究结果表明孕期足部按摩是无稽之谈,但本研究没有足够的证据来确定孕期按摩的安全性,需要进一步研究。按摩常用于治疗腰背疼痛,且能显著减轻疼痛,改善活动范围,进一步研究孕期按摩治疗腰背疼痛的效果。

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