All India Institute of Medical Sciences, Bhubaneswar, India.
All India Institute of Medical Sciences, Gorakhpur, India.
J Glob Health. 2023 Mar 10;13:04023. doi: 10.7189/jogh.13.04023.
Prolonged labour intensifies labour pain, and failure to address labour pain may lead to abnormal labour and augments the usage of operative interventions. Prolonged labour is common among women, resulting in maternal morbidity, increased caesarean section (CS) rates, and postpartum complications. It may bring forth negative birth experiences that may increase the preference for CS. There is a dearth of evidence concerning the effectiveness of breathing exercises on the duration of labor. As per our knowledge, this is the first systematic review and meta-analysis on the effect of breathing exercises on the duration of labor. This systematic review and meta-analysis aimed to appraise the evidence concerning the effectiveness of breathing exercises on the duration of labour.
Electronic databases MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Web of Science, SCOPUS, and ClinicalKey were searched for randomized controlled trials, quasi-experimental studies published in the English language between January 2005 to March 2022 that reported on the effectiveness of breathing exercises on the duration of labour. Duration of labour was the primary analysed outcome. The secondary outcomes assessed were anxiety, duration of pain, APGAR scores, episiotomy, and mode of delivery. Meta-analysis was done using RevMan v5.3.
The reviewed trials involved 1418 participants, and the study participants ranged from 70 to 320. The mean gestational weeks of the participants among the reported trials was 38.9 weeks. Breathing exercise shortened the duration of the intervention group's second stage of labour compared with the control group.
Breathing exercise is a beneficial preventive intervention in shortening the duration of second stage of labour.
The review protocol was registered with PROSPERO (CRD42021247126).
产程延长会加剧分娩疼痛，如果不能缓解分娩疼痛，可能会导致产程异常，并增加手术干预的使用。产程延长在女性中较为常见，会导致产妇发病率增加、剖宫产率上升和产后并发症增加。它可能会带来负面的分娩体验，从而增加对剖宫产的偏好。关于呼吸练习对产程持续时间的影响，证据不足。据我们所知，这是第一项关于呼吸练习对产程持续时间影响的系统评价和荟萃分析。本系统评价和荟萃分析旨在评估呼吸练习对产程持续时间的有效性的证据。
检索 MEDLINE、Cumulative Index to Nursing and Allied Health Literature（CINAHL）、EMBASE、Web of Science、SCOPUS 和 ClinicalKey 等电子数据库，查找 2005 年 1 月至 2022 年 3 月期间以英文发表的关于呼吸练习对产程持续时间影响的随机对照试验和准实验研究。产程持续时间是主要分析结果。评估的次要结果包括焦虑、疼痛持续时间、新生儿 Apgar 评分、会阴切开术和分娩方式。使用 RevMan v5.3 进行荟萃分析。
综述涉及 1418 名参与者，研究参与者的年龄范围从 70 岁到 320 岁。报告的试验中参与者的平均妊娠周数为 38.9 周。与对照组相比，呼吸练习组第二产程的持续时间缩短。
呼吸练习是缩短第二产程持续时间的有益预防干预措施。
该综述方案已在 PROSPERO（CRD42021247126）注册。
