Yilmaz Esencan Tugba, Rathfisch Gulay
Altern Ther Health Med. 2023 Jan;29(1):6-14.
During labor, conscious maternal expulsive efforts are crucial, especially in the second stage. Contemporarily, medical professional's bedside observations indicate an inadequacy in the maternal contribution to the process of delivery that has led to increased rates of caesarean sections and interventional deliveries. For that reason, the importance of yoga, meditation, and breath-awareness practices increases during pregnancy and birth.
The study intended to examine the impact on the delivery process of the practice of yoga and meditation during pregnancy and labor.
The research team designed a randomized controlled trial.
The research was conducted between October 2016 and May 2018 at an educational and research hospital in Istanbul, Turkey, on the Anatolian side of the Istanbul province.
Participants were 90 primiparous pregnant women who applied to the pregnancy school at the hospital and who met the criteria for acceptance into the study.
The participants was randomly divided into two groups, 30 in an intervention group and 60 in a control group. The intervention group performed yoga and meditation for 60 minutes two times a week for 10 weeks. Yoga and meditation practices also occurred during the course of labor for the intervention group. Routine midwifery care was given to both groups during labor.
The data were collected using: (1) the State Trait Anxiety Inventory (STAI), (2) the Wijma Delivery Expectancy/Experience Questionnaire A, (3) the Childbirth Self-Efficacy Scale (CBSEI) Short Form, (4) the Wijma Delivery Expectancy/Experience Questionnaire Version B, and (5) a visual analogue scale (VAS) for pain.
When the labor data were evaluated, the intervention group had statistically higher vaginal delivery rates, lower labor intervention rates and episiotomy opening frequencies, lower pain measurement scores and WIJMA B scores, and higher CBSEI scores than the control group. However, the intervention group's STAI scores had increased significantly after the practice post intervention.
Yoga and meditation are effective methods for reducing pain and fear perception and increasing self-efficacy and vaginal delivery rates during the labor process.
在分娩过程中，产妇有意识的用力至关重要，尤其是在第二产程。目前，医学专业人员的床边观察表明，产妇在分娩过程中的参与度不足，这导致剖宫产率和介入分娩率上升。因此，瑜伽、冥想和呼吸觉知练习在孕期和分娩期间的重要性日益增加。
本研究旨在探讨孕期和分娩期间进行瑜伽和冥想练习对分娩过程的影响。
研究团队设计了一项随机对照试验。
研究于2016年10月至2018年5月在土耳其伊斯坦布尔亚洲一侧伊斯坦布尔省的一家教育和研究医院进行。
参与者为90名初产妇，她们向医院的孕期学校申请并符合纳入研究的标准。
参与者被随机分为两组，干预组30人，对照组60人。干预组每周进行两次60分钟的瑜伽和冥想练习，持续10周。干预组在分娩过程中也进行瑜伽和冥想练习。两组在分娩期间均接受常规助产护理。
数据收集使用：（1）状态-特质焦虑量表（STAI），（2）Wijma分娩期望/体验问卷A，（3）分娩自我效能量表（CBSEI）简版，（4）Wijma分娩期望/体验问卷B版，以及（5）疼痛视觉模拟量表（VAS）。
对分娩数据进行评估时，干预组的阴道分娩率在统计学上高于对照组，分娩干预率和会阴切开术开口频率较低，疼痛测量得分和WIJMA B得分较低，CBSEI得分较高。然而，干预组在干预后的练习后STAI得分显著增加。
瑜伽和冥想是在分娩过程中减轻疼痛和恐惧感知、提高自我效能感和阴道分娩率的有效方法。
