Yang Wenqian, Wang Yonghong, Ko Chingyuan, Niu Xiaoyu, Huang Yan, Luo Biru, Wang Guoyu, He Jingjing, Li Huafeng
Department of Obstetrics Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Front Psychol. 2024 Feb 5;15:1304274. doi: 10.3389/fpsyg.2024.1304274. eCollection 2024.
Women with perinatal anxiety have reduced coping capacity during labor, which affects labor progress and increases the likelihood of a cesarean section. Several non-pharmacological interventions for anxiety during childbirth are available. This study used the "lite touch" method, a non-pharmacological intervention based on physiological responses and obstetric clinical experience in women. We aimed to evaluate whether lite touch could relieve perinatal anxiety and investigate the effect of light skin stroking on the maternal hormones, catecholamine, and cortisol.
This randomized clinical trial involved women with low-risk singleton pregnancies at full term or near term. Eligible pregnant women who were latent and did not undergo epidural anesthesia were randomized into two groups. Participants in the intervention group underwent routine prenatal care, including lite touch, whereas the control group underwent routine prenatal care alone. Demographic data were collected through a questionnaire. Labor anxiety was assessed using the State Anxiety Inventory, and saliva was collected before and after the intervention. Changes in saliva cortisol and catecholamine levels were analyzed using a double-antibody sandwich enzyme-linked immunosorbent assay.
In total, 83 participants were included, with 43 and 40 in the intervention and control groups, respectively. In the intervention group, pre-intervention anxiety scores were significantly lower ( < 0.01) than post-intervention anxiety scores, whereas the control group showed no difference in anxiety scores before and after intervention ( > 0.05). Cortisol and catecholamine levels in saliva were significantly lower in the intervention group than in the control group after the intervention ( < 0.01).
Lite touch can reduce the latent anxiety state of low-risk pregnant women, thereby maintaining stability and facilitating labor.
https://www.chictr.org.cn/aboutEN.html, ChiCTR2300070905, Retrospectively Registered Date: April 26, 2023.
围产期焦虑的女性在分娩过程中的应对能力会降低，这会影响产程并增加剖宫产的可能性。目前有几种针对分娩期焦虑的非药物干预措施。本研究采用了“轻柔触摸”方法，这是一种基于女性生理反应和产科临床经验的非药物干预措施。我们旨在评估轻柔触摸是否能缓解围产期焦虑，并研究轻度皮肤抚摸对母体激素、儿茶酚胺和皮质醇的影响。
这项随机临床试验纳入了足月或接近足月的低风险单胎妊娠女性。符合条件的潜伏期且未接受硬膜外麻醉的孕妇被随机分为两组。干预组的参与者接受常规产前护理，包括轻柔触摸，而对照组仅接受常规产前护理。通过问卷收集人口统计学数据。使用状态焦虑量表评估分娩焦虑，并在干预前后收集唾液。采用双抗体夹心酶联免疫吸附测定法分析唾液皮质醇和儿茶酚胺水平的变化。
总共纳入了83名参与者，干预组和对照组分别有43名和40名。在干预组中，干预前的焦虑评分显著低于干预后（<0.01），而对照组干预前后的焦虑评分没有差异（>0.05）。干预后，干预组唾液中的皮质醇和儿茶酚胺水平显著低于对照组（<0.01）。
轻柔触摸可以降低低风险孕妇的潜伏焦虑状态，从而维持稳定性并促进分娩。
https://www.chictr.org.cn/aboutEN.html，ChiCTR2300070905，回顾性注册日期：2023年4月26日。
