Department of Persian Medicine, School of Traditional Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Pregnancy Childbirth. 2020 Apr 14;20(1):210. doi: 10.1186/s12884-020-02915-x.
The rate of cesarean section is increasing in all over the world with different drafts in various countries. This growth increases unpleasant outcomes of delivery. Recent studies explained the benefits of date palm fruit on labor process improvement. Date fruit can be considered as a factor for increasing vaginal delivery and also reducing the frequency of caesarean section in order to prevent its great complications. This systematic review has been designed to review clinical studies that investigate the effects of date palm fruit on labor outcomes (duration of labor stages, bishop score, and frequency of cesarean section) compared with routine cares.
This study was performed in 2019. Required data has been collected from electronic databases and manual searches. All randomized clinical trials evaluating the effects of date palm fruit on labor and delivery that were published from January 2000 to August 2019 in English and Persian languages, were incorporated in this systematic review. The methodological quality of the included studies was evaluated according to the risk of bias assessment of Cochrane handbook of systematic reviews, and were then reported using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement.
Eight studies were included in the qualitative and quantitative synthesis. Meta-Analysis showed that date fruit consumption can significantly reduce active phase of labor (three trials with 380 participants; (MD = - 109.3, 95%CI (- 196.32, - 22.29; I = 89%), P = 0.01), and also it can significantly improve the bishop score (two trials with 320 participants; MD = 2.45, 95%CI (1.87, 3.04; I = 0%), P < 0.00001). Date fruit consumption had no effects on the duration of first, second, and third stages of labor, and the frequency of cesarean section.
Date can reduce the duration of active phase and improve the bishop score; however, due to from the low to mediate quality of the studies; it seems that the other studies are needed to prove these results better than this.
在世界范围内，剖宫产率正在上升，各国的草案也各不相同。这种增长增加了分娩的不良后果。最近的研究表明，椰枣果实对改善分娩过程有好处。椰枣可以被认为是增加阴道分娩的一个因素，也可以减少剖宫产的频率，以防止其带来的严重并发症。本系统评价旨在回顾评估椰枣果实对分娩结局（产程各阶段的持续时间、bishop 评分和剖宫产率）影响的临床研究，与常规护理相比。
本研究于 2019 年进行。从电子数据库和手动搜索中收集了所需数据。所有评估椰枣果实对分娩影响的随机临床试验，均纳入本系统评价，这些研究发表于 2000 年 1 月至 2019 年 8 月，语言为英语和波斯语。根据 Cochrane 系统评价手册的偏倚风险评估标准，对纳入研究的方法学质量进行评估，并按照系统评价和荟萃分析的 Preferred Reporting Items (PRISMA) 声明进行报告。
8 项研究纳入定性和定量综合分析。Meta 分析显示，食用椰枣果能显著减少活跃期产程（三项试验共 380 名参与者；（MD = -109.3，95%CI（-196.32，-22.29；I = 89%），P = 0.01），还能显著改善 bishop 评分（两项试验共 320 名参与者；MD = 2.45，95%CI（1.87，3.04；I = 0%），P < 0.00001）。食用椰枣果对第一、第二和第三产程的持续时间及剖宫产率无影响。
椰枣能减少活跃期的持续时间，改善 bishop 评分；然而，由于研究质量从低到中，因此似乎需要更多的研究来更好地证明这些结果。
