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舞蹈对产妇分娩的影响:一项系统评价与荟萃分析。

The effects of dance on maternal childbirth: a systematic review and meta-analysis.

作者信息

Zhang Luping, Yue Ru, Xiao Feng, Wang Fulan, Zhang Zhiwei

机构信息

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.

出版信息

BMC Pregnancy Childbirth. 2025 Jan 9;25(1):20. doi: 10.1186/s12884-024-07132-4.

Abstract

BACKGROUND

Previous guidelines have clearly stated that dance is safe and beneficial during pregnancy and for childbirth. However, due to the small sample size of individual studies and different interventions, there were inconsistencies about the effect of dance on maternal childbirth.

METHODS

We included studies evaluating the effect of dance on women in labor. Risk of bias was assessed using the revised Risk of bias assessment tool for randomized controlled trials (RCTs). Data analyses was performed using Review Manager Software version 5.4.

RESULTS

A total of 12 RCTs comprising 1,486 pregnant women were included in the analysis. We found that the rate of natural childbirth and satisfaction with delivery were higher in the dance group than in the control group.The pain at 30 min and at 60 min after the intervention were lower in the dance group than in the control group. Meanwhile, the duration of the first stage, the second stage and the total labor duration was shorter in the dance group than in the control group.However, there were no statistically significant differences in the pain at 90 min after intervention, the duration of the third stage, and the rate of the normal 1-minute Apgar scores > 7 points between the two groups.

CONCLUSIONS

Dance during labor could reduce labor pain to an extent, shorten the duration of labor, promote natural childbirth, and improve satisfaction with labor, with no adverse effects on neonatal outcomes.

TRIAL REGISTRATION

The protocol for this review was prospectively registered in the international prospective register of systematic reviews (PROSPERO) under the registration number CRD42022351001.

摘要

背景

既往指南已明确指出,孕期及分娩期间跳舞是安全且有益的。然而,由于个别研究的样本量较小且干预措施不同,关于舞蹈对孕产妇分娩的影响存在不一致的观点。

方法

我们纳入了评估舞蹈对分娩期女性影响的研究。使用修订后的随机对照试验(RCT)偏倚风险评估工具评估偏倚风险。使用Review Manager软件5.4版进行数据分析。

结果

分析共纳入12项RCT,涉及1486名孕妇。我们发现,舞蹈组的自然分娩率和分娩满意度高于对照组。舞蹈组干预后30分钟和60分钟时的疼痛程度低于对照组。同时,舞蹈组第一产程、第二产程及总产程的时长均短于对照组。然而,两组在干预后90分钟时的疼痛、第三产程时长以及1分钟Apgar评分>7分的正常率方面,差异无统计学意义。

结论

分娩期间跳舞可在一定程度上减轻分娩疼痛,缩短产程,促进自然分娩,并提高分娩满意度,且对新生儿结局无不良影响。

试验注册

本综述方案已在国际前瞻性系统评价注册库(PROSPERO)中进行前瞻性注册,注册号为CRD42022351001。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7472/11715263/9e9720f33362/12884_2024_7132_Fig1_HTML.jpg

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