Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Melaka Manipal Medical College & Dr. TMA Pai Hospital Udupi,, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
F1000Res. 2023 May 30;11:159. doi: 10.12688/f1000research.75960.3. eCollection 2022.
Background Childbirth is a life-transforming intense event to a woman and her family. Even though a variety of non-pharmacological techniques are readily available to alleviate the distress of women in labour, the majority of women are unaware of its benefits. The objective of the study was to explore the impact of a simple non-pharmacological technique i.e., antepartum breathing exercises on maternal outcomes of labour among primigravid women. Methods A single centre prospective, single-blinded, randomized controlled trial was conducted at the antenatal outpatient clinic of a secondary healthcare institution. Eligible primigravid women were randomized into intervention and standard care groups. Both groups received standard obstetrical care. In addition, the intervention group were taught antepartum breathing exercises and were advised to practise daily and also during the active stage of labour. The primary outcome of the trial was the maternal outcome of labour measured in terms of onset of labour, nature of delivery, duration of labour, and need for augmentation of labour. Data was collected using World Health Organization (WHO) partograph, structured observational record on the outcome of labour. Results A total of 98 (70%) primigravid women who practised antepartum breathing exercises had spontaneous onset of labour. The odds of spontaneous onset of labour after randomization in the intervention group was 2.192 times more when compared to standard care at a (95% confidence interval 1.31-3.36, <.001). Also, the requirement for augmentation of labour was minimal and there was a reduction in the rate of caesarean deliveries ( <.05) based on the χ2 test. The overall mean duration of labour was less compared to standard care group F(1)= 133.800, <.001. Conclusion Antepartum breathing exercises during labour can facilitate spontaneous vaginal birth, shorten the duration of labour, and reduce the need for operative interference.
背景
分娩对女性及其家庭来说是一个改变人生的重大事件。尽管有多种非药物技术可用于缓解分娩妇女的痛苦，但大多数女性并不了解其益处。本研究的目的是探讨产前呼吸练习等简单非药物技术对初产妇分娩结局的影响。
方法
在二级保健机构的产前门诊进行了一项单中心前瞻性、单盲、随机对照试验。合格的初产妇被随机分为干预组和标准护理组。两组均接受标准产科护理。此外，干预组还接受了产前呼吸练习的教学，并被建议每天练习，也在活跃期分娩时练习。试验的主要结局是分娩的产妇结局，用分娩开始、分娩方式、分娩持续时间和分娩增强的需要来衡量。数据使用世界卫生组织（WHO）产程图和分娩结局的结构化观察记录表收集。
结果
共有 98 名（70%）练习产前呼吸练习的初产妇自然分娩。与标准护理相比，随机分组后干预组自然分娩的可能性高 2.192 倍（95%置信区间 1.31-3.36，<0.001）。此外，需要增强产力的情况很少，剖宫产率也有所降低（<0.05），基于 χ2检验。与标准护理组相比，总产程的平均时间较短 F（1）= 133.800，<0.001。
结论
分娩时进行产前呼吸练习可以促进自然阴道分娩，缩短产程，减少手术干预的需要。
