Mahmoudikohani Fatemeh, Torkzahrani Shahnaz, Saatchi Kiarash, Nasiri Maliheh
School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Bodyw Mov Ther. 2019 Oct;23(4):728-732. doi: 10.1016/j.jbmt.2019.04.002. Epub 2019 Apr 5.
Complementary and alternative medicines have been used to increase comfort and relaxation in mothers during labor. Comforting and preparing the mother in labor can create a positive birth experience. The aim of this study was to evaluate the effect of acupressure on childbirth satisfaction and the experience of giving birth in women with full-term pregnancy, before the onset of labor.
In 2016, a randomized clinical trial study was conducted in Shahid Akbar Abadi Hospital, Tehran, Iran, enrolling 120 pregnant women at 39-40 gestational weeks with no signs of the onset of labor. They were divided randomly into acupressure, sham acupressure, and control groups. Acupressure points including SP6, BL 60, and BL 32 were pressured bilaterally. Interventions were performed by the researcher, the mother and her relative (husband). Childbirth satisfaction was measured 24 h after delivery. The collected data were analyzed by SPSS software and comparing tests were Chi-squared, Kruskal-Wallis, ANOVA tests (P ≤ 0.05).
The total childbirth satisfaction did not differ significantly among the three groups (P = 0.460), but the acupressure group had a higher level of satisfaction than the other two groups. Moreover, statistical tests regarding the expectations of the childbirth experience showed a significant difference among the groups (P = 0.033). The actual birth was closest to the expectations of subjects in the acupressure group.
This study demonstrated that acupressure may be used as a method in order to attempt to provide a good birth experience and satisfaction of childbirth.
辅助和替代医学已被用于增加分娩期间母亲的舒适度和放松感。在分娩过程中安慰并让母亲做好准备可以创造积极的分娩体验。本研究的目的是评估在足月妊娠、分娩发动前对女性进行穴位按压对分娩满意度和分娩体验的影响。
2016年，在伊朗德黑兰的沙希德·阿克巴·阿巴迪医院进行了一项随机临床试验研究，招募了120名妊娠39 - 40周且无分娩发动迹象的孕妇。她们被随机分为穴位按压组、假穴位按压组和对照组。双侧按压包括三阴交（SP6）、至阴（BL 60）和膀胱俞（BL 32）等穴位。干预由研究人员、母亲及其亲属（丈夫）进行。在分娩后24小时测量分娩满意度。收集的数据通过SPSS软件进行分析，比较检验采用卡方检验、Kruskal - Wallis检验、方差分析（P≤0.05）。
三组之间的总体分娩满意度无显著差异（P = 0.460），但穴位按压组的满意度水平高于其他两组。此外，关于分娩体验期望的统计检验显示各组之间存在显著差异（P = 0.033）。穴位按压组的实际分娩情况最接近受试者的期望。
本研究表明，穴位按压可作为一种方法，试图提供良好的分娩体验和分娩满意度。
