Lima-De-La-Iglesia Consolación, Magni Eleonora, Botello-Hermosa Alicia, Guerra-Martín María Dolores
Obstetrics and Gynecology Service, Virgen Macarena University Hospital, 41009 Seville, Spain.
Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
Healthcare (Basel). 2024 Dec 9;12(23):2481. doi: 10.3390/healthcare12232481.
BACKGROUND/OBJECTIVES: The current trend in maternal health is to foster more natural and less medicalized therapies, with increasing interest in complementary therapies. This study has analyzed the benefits of complementary therapies during pregnancy, delivery and the postpartum period.
A paired systematic review was carried out (PROSPERO: CRD42024543981). The following databases were consulted: PubMed, Scopus, Web of Science and CINAHL. Inclusion criteria were randomized clinical trials about complementary therapies in women during pregnancy, delivery and/or the postpartum period. The risk of bias of the clinical trials was evaluated using the revised Cochrane Risk of Bias tool for randomized trials version 2 (RoB-2).
A total of 1684 studies were found, with a final selection of 17. The most studied symptom was pain. Hydrotherapy, perinatal Swiss ball exercises, acupressure, virtual reality and foot reflexology provided a significant reduction in pain during labor. Similarly, aromatherapy, electroacupuncture and massage have shown significant benefits in pain management after Cesarean. Yoga, when practiced during pregnancy, effectively reduces anxiety and depression, with similar benefits observed when practiced during the postpartum period.
Complementary therapies improve pain, anxiety and depression management across maternal health phases.
背景/目的:当前孕产妇健康领域的趋势是倡导更自然、更少医疗化的治疗方法,人们对补充疗法的兴趣与日俱增。本研究分析了补充疗法在孕期、分娩期及产后的益处。
进行了一项配对系统评价(国际前瞻性系统评价注册平台:CRD42024543981)。查阅了以下数据库:PubMed、Scopus、科学网和护理学与健康领域数据库。纳入标准为关于孕期、分娩期和/或产后女性补充疗法的随机临床试验。使用修订后的Cochrane随机试验偏倚风险工具第2版(RoB-2)评估临床试验的偏倚风险。
共检索到1684项研究,最终纳入17项。研究最多的症状是疼痛。水疗法、围产期瑞士球运动、指压疗法、虚拟现实和足部反射疗法能显著减轻分娩时的疼痛。同样,芳香疗法、电针疗法和按摩在剖宫产术后的疼痛管理中也显示出显著益处。孕期进行瑜伽练习可有效减轻焦虑和抑郁,产后进行瑜伽练习也有类似效果。
补充疗法可改善孕产妇健康各阶段的疼痛、焦虑和抑郁状况。