Department of Obstetrics and Gynaecology, University of Istanbul Medipol, Istanbul, Turkey.
Department of Midwifery, Kırklareli University School of Health, Kırklareli, Turkey.
J Obstet Gynaecol. 2021 May;41(4):573-580. doi: 10.1080/01443615.2020.1787363. Epub 2020 Aug 17.
This study evaluated the efficacy and safety of postoperative acupressure in the recovery of the gastrointestinal system (GIS) after caesarean section. A total of 160 primipara pregnant women delivered by caesarean section under spinal anaesthesia were randomised into four groups: group 1 (those who received acupressure), group 2 (coffee was provided three times a day), group 3 (chewed sugar-free gum for 15 min with an interval of 4 h from the second postoperative hour), and group 4 (control group). The first gas outflow and defaecation times of the women were compared among the groups. The first flatus and defaecation exit times of the women in the acupressure group were statistically earlier than those of the other groups. No difference was found among the gum-chewing, coffee, and control groups. Acupressure is effective in reducing the flatus and defaecation exit times due to GIS inactivity after abdominal surgery including caesarean section.Impact statement The slowing of gastrointestinal system (GIS) motility also occurs after caesarean section aside from other surgical operations. If normal GIS movements do not occur, then several problems, such as the negative increase in the duration of breastfeeding and the mother-baby attachment during the postpartum period, may arise. Therefore, the early onset of bowel functions is important in women who give birth by caesarean section. In the postoperative period, spontaneous GIS motility can be achieved by applying acupressure. The effective use of acupressure in the postoperative period prevents the need for pharmacological methods to eliminate the discomfort caused by the decreased motility of the GIS in women in the postpartum period. Acupressure, a non-invasive, easy-to-use, and cost-effective method, plays a role in preventing GIS immotility. Midwives or obstetricians should receive training on acupuncture or acupressure and should ensure that acupuncture or acupressure practices are converted into a protocol to be implemented in the postoperative period. With this transformation, the treatment methods to increase GIS motility and the reduced medication use can decrease the mother's and the newborn's duration of hospital stay and the cost of hospitalisation.
本研究评估了剖宫产术后穴位按压对胃肠道（GIS）恢复的疗效和安全性。共有 160 名接受脊髓麻醉剖宫产的初产妇随机分为四组：第 1 组（接受穴位按压）、第 2 组（每天提供 3 次咖啡）、第 3 组（从术后第 2 小时开始，每 4 小时嚼无糖口香糖 15 分钟）和第 4 组（对照组）。比较各组产妇首次排气和排便时间。穴位按压组产妇首次排气和排便时间明显早于其他组。咀嚼口香糖组、咖啡组和对照组之间无差异。穴位按压可有效减少因腹部手术（包括剖宫产）后 GIS 不活动引起的肠鸣音和排便时间。
胃肠道（GIS）运动的减慢除了其他手术外，在剖宫产术后也会发生。如果正常的 GIS 运动没有发生，那么在产后期间可能会出现一些问题，例如母乳喂养时间延长和母婴依恋的负面影响。因此，对于剖宫产的产妇，早期出现肠道功能是很重要的。在术后期间，通过应用穴位按压可以实现自发性 GIS 运动。在术后期间有效使用穴位按压可以防止需要使用药物方法来消除 GIS 运动减弱引起的不适。穴位按压是一种非侵入性、易于使用且经济有效的方法，在预防 GIS 不动方面发挥作用。助产士或产科医生应接受针灸或穴位按压方面的培训，并应确保将针灸或穴位按压实践转化为术后实施的协议。通过这种转变，增加 GIS 运动的治疗方法和减少药物使用可以减少母亲和新生儿的住院时间和住院费用。
