Postgraduate Program of Rehabilitation and Functional Performance, University of Pernambuco, Petrolina, Brazil.
Postgraduate Program of Rehabilitation and Functional Performance, University of Pernambuco, Petrolina, Brazil.
J Physiother. 2024 Apr;70(2):134-141. doi: 10.1016/j.jphys.2024.02.017. Epub 2024 Mar 16.
What is the effect of a protocol targeted at the various stages of labour - with a peanut ball, positioning and pelvic mobility - on the duration of labour, pain severity, fatigue, maternal outcomes, neonatal outcomes and satisfaction in parturients without analgesia?
A randomised trial with concealed allocation, blinding of assessors and intention-to-treat analysis.
One hundred women in active labour.
The experimental group received the protocol targeted at the various stages of labour, with a peanut ball, positioning and pelvic mobility, whilst the control group received usual care.
The primary outcomes were the duration of labour and pain severity. The secondary outcomes were maternal fatigue, mode of delivery, risk of perineal laceration, severity of perineal laceration, use of synthetic oxytocin, satisfaction with delivery, Apgar scores, admission of the neonate to an intensive care unit and resuscitation of the neonate in the delivery room. In the active phase of labour, the numerical rating scale and maternal perception of childbirth fatigue questionnaire were applied; they were taken again when the parturient had 8 to 10 cm of dilation. The numerical rating scale was also applied postpartum to evaluate satisfaction with childbirth.
The use of the protocol with a peanut ball reduced the duration of active and expulsive phases and the total duration of labour, with mean differences of 82 minutes (95% CI 41 to 125), 8 minutes (95% CI 0 to 18) and 89 minutes (95% CI 45 to 132), respectively. Maternal satisfaction was better in the experimental group: mean between-group difference on the 10-point scale was 1.1 (95% CI 0.4 to 1.8). The effects on the other outcomes were either similar between groups or unclear.
A protocol with a peanut ball, positioning and pelvic mobility reduced the duration of labour and improved maternal satisfaction with childbirth.
RBR-74wcnjc.
针对分娩各个阶段（使用花生球、体位和骨盆活动）的方案对无镇痛产妇的分娩持续时间、疼痛严重程度、疲劳、母婴结局、新生儿结局和满意度有何影响？
一项随机试验，采用隐藏分组、评估者设盲和意向治疗分析。
100 名处于活跃分娩期的妇女。
实验组接受针对分娩各个阶段（使用花生球、体位和骨盆活动）的方案，对照组接受常规护理。
主要结局是分娩持续时间和疼痛严重程度。次要结局是产妇疲劳、分娩方式、会阴裂伤风险、会阴裂伤严重程度、合成催产素的使用、分娩满意度、新生儿阿普加评分、新生儿入住重症监护病房和新生儿在产房复苏。在活跃分娩期，使用数字评分量表和产妇分娩疲劳感知问卷；当产妇宫口扩张 8 至 10cm 时再次进行评估。产后再次使用数字评分量表评估分娩满意度。
使用花生球的方案可减少活跃期和第二产程及总分娩持续时间，平均差异分别为 82 分钟（95%CI 41 至 125）、8 分钟（95%CI 0 至 18）和 89 分钟（95%CI 45 至 132）。实验组产妇满意度更好：组间差异的平均差值为 1.1（95%CI 0.4 至 1.8）。其他结局的效果在组间相似或不清楚。
使用花生球、体位和骨盆活动的方案可缩短分娩持续时间并提高产妇对分娩的满意度。
RBR-74wcnjc。
Zotero 插件