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分娩时母体催产素诱导对早期新生儿疼痛和应激的影响:一项准实验研究。

The Effect of Maternal Oxytocin Induction during Birth on Early Neonatal Pain and Stress: A Quasi-Experimental Study.

机构信息

Department of Midwifery, Faculty of Health Science, Kocaeli University, Kocaeli, Türkiye.

Darica Farabi Training and Research Hospital, Kocaeli, Türkiye.

出版信息

Biol Res Nurs. 2025 Jan;27(1):101-108. doi: 10.1177/10998004241289896. Epub 2024 Oct 6.

Abstract

OBJECTIVE

Oxytocin induction is a commonly used intervention during childbirth worldwide. This study aimed to compare the pain and stress levels of newborns born to mothers who administered synthetic oxytocin at birth with those who did not.

METHODS

This quasi-experimental study included 164 participants and their newborns who were delivered vaginally in a public hospital. The data were collected using an Information Form, a Neonatal Follow-Up Form, and the Assessment of Neonatal Pain and Stress Scale (ALPS-Neo).

RESULTS

In the study, there were no differences between the two groups in terms of the participants' and newborns' demographic characteristics ( .05). During and after drying, before, during, and after the first injection, and before, during, and after blood glucose measurement, the mean ALPS-Neo scores were higher in the oxytocin induction group, with the difference being statistically significant ( .001).

CONCLUSION

Although the data presented here are observational, the findings indicate that infants born to participants who underwent oxytocin induction exhibit more intense pain and stress responses. The pain-stress scores of newborns born to participants who underwent oxytocin induction were higher than those of newborns whose mothers did not receive oxytocin induction.

摘要

目的

催产素诱导在全球范围内是分娩时常用的干预措施。本研究旨在比较在分娩时给予合成催产素的母亲所生新生儿与未给予催产素的母亲所生新生儿的疼痛和应激水平。

方法

这项准实验研究纳入了 164 名在公立医院阴道分娩的产妇及其新生儿。使用信息表、新生儿随访表和新生儿疼痛与应激评估量表(ALPS-Neo)收集数据。

结果

在研究中,两组参与者和新生儿的人口统计学特征无差异(.05)。在干燥过程中、第一次注射前、第一次注射时和第一次注射后,以及血糖测量前、测量时和测量后,催产素诱导组的 ALPS-Neo 评分均值更高,差异具有统计学意义(.001)。

结论

尽管这里呈现的数据是观察性的,但结果表明接受催产素诱导的参与者所生婴儿表现出更强烈的疼痛和应激反应。接受催产素诱导的参与者所生新生儿的疼痛-应激评分高于未接受催产素诱导的参与者所生新生儿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/11555906/efe242e617c6/10.1177_10998004241289896-fig1.jpg

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