Nikpour Maryam, Sepidarkish Mahdi, Joneidi Elham, Darzipour Mahbobeh, Firouzbakht Mojgan
Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Department of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran.
Iran J Nurs Midwifery Res. 2024 Jul 2;29(3):273-279. doi: 10.4103/ijnmr.ijnmr_91_23. eCollection 2024 May-Jun.
Labor pain management is a critical aspect of midwifery care and an essential purpose of childbirth-related care. There is a need for comprehensive results on relevant non-therapeutic methods of reducing labor pain. This systematic review and meta-analysis study was conducted to investigate the effect of yoga practice on labor pain.
We performed a systematic literature search from SCOPUS, PubMed, Web of Science, and Science Direct for relevant studies from January 1, 1990 to June 2, 2022. We selected published quasi-randomized and randomized controlled trial studies that evaluated the effect of yoga practice on labor pain. Quality research was applied. We pooled the Standardized Mean Dfference (SMD) of labor pain in pregnant women with and without yoga practice during pregnancy using a random-effects model at 95% Confidence Intervals (CIs).
Nine studies including 660 women were included in the meta-analysis. Pregnant women in the yoga practice group experienced statistically significantly low labor pain at the beginning of the active phase compared to the control group (SMD: -1.10, 95% CI: -1.61, -0.58, < 0.001; I2 = 89%). Yoga interventions also reduced the intensity of labor pain in active (SMD: -1.32, 95% CI: -2.03, -0.60, < 0.001; I2 = 92%) and transition (SMD: -1.93, 95% CI: -2.87, -0.99, < 0.001; I2 = 92%) phases compared to the control group, respectively.
The results of the study showed that yoga practice during pregnancy reduces the intensity of labor pain in different labor phases. However, these findings should be considered cautiously due to the substantial heterogeneity between studies.
分娩疼痛管理是助产护理的关键环节，也是分娩相关护理的重要目的。需要有关减轻分娩疼痛的相关非治疗方法的全面结果。本系统评价和荟萃分析研究旨在调查瑜伽练习对分娩疼痛的影响。
我们从SCOPUS、PubMed、科学网和科学直达数据库中进行了系统的文献检索，以查找1990年1月1日至2022年6月2日的相关研究。我们选择了已发表的半随机和随机对照试验研究，这些研究评估了瑜伽练习对分娩疼痛的影响。应用了高质量研究。我们使用随机效应模型在95%置信区间（CI）下汇总了孕期进行和未进行瑜伽练习的孕妇分娩疼痛的标准化平均差（SMD）。
荟萃分析纳入了9项研究，共660名女性。与对照组相比，瑜伽练习组的孕妇在活跃期开始时经历的分娩疼痛在统计学上显著较低（SMD：-1.10，95%CI：-1.61，-0.58，<0.001；I2 = 89%）。与对照组相比，瑜伽干预还分别降低了活跃期（SMD：-1.32，95%CI：-2.03，-0.60，<0.001；I2 = 92%）和过渡期（SMD：-1.93，95%CI：-2.87，-0.99，<0.001；I2 = 92%）的分娩疼痛强度。
研究结果表明，孕期进行瑜伽练习可降低不同分娩阶段的分娩疼痛强度。然而，由于研究之间存在较大异质性，这些研究结果应谨慎看待。
