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分娩中使用花生球：系统评价和荟萃分析。

Use of the peanut ball during labour: A systematic review and meta-analysis.

机构信息

Students' Research Committee, Midwifery Department, Tabriz University of Medical sciences, Tabriz, Iran.

Department of midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Nurs Open. 2021 Sep;8(5):2345-2353. doi: 10.1002/nop2.844. Epub 2021 Mar 27.

DOI:10.1002/nop2.844
PMID:33773071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8363404/
Abstract

AIM

This study aimed to determine effectiveness of peanut ball on the duration of the stages of labour and frequency of caesarean section.

DESIGN

A systematic review and meta-analysis.

METHOD

A comprehensive electronic search was carried out with no time limit until December 2020. Collected data were analysed using software RevMan- version 5.3. Heterogeneity was assessed using I , T , and . GRADE approach was used to assess the certainty of evidence.

RESULTS

The meta-analysis on six clinical trials with 645 participants showed no statistically significant difference between the two groups in caesarean surgery rate (RR = 0.82) and length of the first (MD = -15.64).

CONCLUSIONS

Therefore, further clinical trials with stronger evidence should be carried out to assess the effectiveness of peanut ball on caesarean surgery rate and length of first and second stages of labour.

摘要

目的

本研究旨在确定花生球对产程各阶段持续时间和剖宫产率的影响。

设计

系统评价和荟萃分析。

方法

无时间限制，截至 2020 年 12 月，进行了全面的电子检索。使用 RevMan-版本 5.3 软件分析收集的数据。使用 I ² 、T 和 评估异质性。使用 GRADE 方法评估证据的确定性。

结果

对 6 项临床试验（645 名参与者）的荟萃分析显示，两组剖宫产率（RR=0.82）和第一产程（MD=-15.64）无统计学差异。

结论

因此，应开展进一步的临床试验，以评估花生球对剖宫产率以及第一、二产程持续时间的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/69e0c39139c2/NOP2-8-2345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/0cbc210840bc/NOP2-8-2345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/1a4e18b271d1/NOP2-8-2345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/41d6099406c3/NOP2-8-2345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/6a746cd1454c/NOP2-8-2345-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/69e0c39139c2/NOP2-8-2345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/0cbc210840bc/NOP2-8-2345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/1a4e18b271d1/NOP2-8-2345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/41d6099406c3/NOP2-8-2345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/6a746cd1454c/NOP2-8-2345-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9156/8363404/69e0c39139c2/NOP2-8-2345-g004.jpg

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2
What women want? Results from a prospective multicenter study on women's preference about pain management during labour.女性想要什么？一项关于女性在分娩过程中对疼痛管理偏好的前瞻性多中心研究的结果。
Eur J Obstet Gynecol Reprod Biol. 2018 Sep;228:197-202. doi: 10.1016/j.ejogrb.2018.06.038. Epub 2018 Jun 28.
3
Impact of Peanut Ball Device on the Duration of Active Labor: A Randomized Control Trial.
花生球装置对活跃期持续时间的影响：一项随机对照试验。
Am J Perinatol. 2018 Aug;35(10):1006-1011. doi: 10.1055/s-0038-1636531. Epub 2018 Mar 6.
4
A Statewide Quality Improvement Initiative to Reduce Non-Medically Indicated Scheduled Deliveries.一项旨在减少非医学指征计划性分娩的全州质量改进倡议。
Matern Child Health J. 2017 Apr;21(4):932-941. doi: 10.1007/s10995-016-2196-5.
5
Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural.使用花生球降低硬膜外麻醉产妇的产程及剖宫产手术率
J Perinat Educ. 2015;24(1):16-24. doi: 10.1891/1058-1243.24.1.16.
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Randomized Controlled Trial of Use of the Peanut Ball During Labor.分娩期间使用花生球的随机对照试验。
MCN Am J Matern Child Nurs. 2016 May-Jun;41(3):140-6. doi: 10.1097/NMC.0000000000000232.
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Assessing and presenting summaries of evidence in Cochrane Reviews.在Cochrane系统评价中评估并呈现证据总结。
Syst Rev. 2013 Sep 23;2:81. doi: 10.1186/2046-4053-2-81.
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