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Rebozo 技术对产妇感知分娩疼痛和分娩体验的影响:一项随机对照试验。

The effect of Rebozo technique on perceived labour pain and childbirth experience: A randomized controlled trial.

机构信息

Faculty of Health Sciences, Department of Nursing, Istanbul Arel University, Istanbul, Turkey.

Faculty of Nursing Department of Gynecology and Diseases Nursing, Istanbul University-Cerrahpaşa Florence Nightingale, Istanbul, Turkey.

出版信息

Medicine (Baltimore). 2024 Aug 30;103(35):e39346. doi: 10.1097/MD.0000000000039346.

Abstract

BACKGROUND

Pain, stress, and anxiety experienced during childbirth can have detrimental effects on labor and delivery. The rebozo technique is an ancestral method used to minimize pain and enhance relief during gestation. This study aimed to investigate the effects of the rebozo technique on the birth process and its probable benefits on the birth experience.

METHODS

This survey was conducted from January to May 2021 in a randomized and controlled manner. A total of 113 pregnant women with their first children were surveyed. Women between 37 and 41 weeks of gestation without complications who were admitted to the delivery room with a cervical dilation of 4 cm or more were chosen as participants. In the Rebozo group, subjects were randomly selected by trained personnel to apply the standardized method, while the control group received a relaxing massage. Cervical dilation, fetal position, contraction patterns, and measures related to the birth experience were key indicators.

RESULTS

Women in the rebozo group had lower pain levels during birth and greater birth satisfaction. Mean cervical dilation in the latent phase was 5.61 cm in the rebozo group and 5.71 cm in the control group. In the active phase, cervical dilatation was 6.03 cm in the rebozo group and 6.68 cm in the control group, and this difference was statistically significant (P < .001). In the transition phase, the birth time was 46.29 minutes in the rebozo group and 68.71 minutes in the control group (P = <.007**). In the total birth experience score, the rebozo group received an average of 68.52 points, while the control group received 51.58 points (P < .001).

CONCLUSION

This research has established that the use of the rebozo technique throughout labor helps enhance her feelings about being pregnant, as well as heightening fulfillment with delivery.

摘要

背景

分娩过程中经历的疼痛、压力和焦虑会对分娩过程产生不利影响。腹带技术是一种古老的方法,用于在妊娠期间最大限度地减轻疼痛并提供缓解。本研究旨在探讨腹带技术对分娩过程的影响及其对分娩体验的可能益处。

方法

本调查于 2021 年 1 月至 5 月以随机对照的方式进行。共调查了 113 名初产妇。选择无并发症、妊娠 37 至 41 周、宫颈扩张 4cm 或以上、进入产房的孕妇作为研究对象。在 Rebozo 组中,由经过培训的人员随机选择受试者应用标准化方法,而对照组则接受放松按摩。宫颈扩张、胎儿位置、收缩模式以及与分娩体验相关的措施是关键指标。

结果

Rebozo 组女性分娩时疼痛程度较低,分娩满意度较高。潜伏期平均宫颈扩张在 Rebozo 组为 5.61cm,在对照组为 5.71cm。在活跃期,Rebozo 组的宫颈扩张为 6.03cm,对照组为 6.68cm,差异具有统计学意义(P<0.001)。在过渡期,Rebozo 组的分娩时间为 46.29 分钟,对照组为 68.71 分钟(P=<.007**)。在总分娩体验评分中,Rebozo 组平均得分为 68.52 分,对照组为 51.58 分(P<0.001)。

结论

本研究表明,在整个分娩过程中使用腹带技术有助于增强她对怀孕的感觉,并提高对分娩的满足感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e94/11365682/7478bea3b277/medi-103-e39346-g001.jpg

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